Individual
COURTNEY S HRIVNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634
(856) 287-1669
Mailing address
1305 SHELLY LN, CHERRY HILL, NJ 08034-3117
(856) 287-1669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00756400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37AC00756400
NJ STATE LICENSE NUMBER
NJ
Enumeration date
01/30/2025
Last updated
01/30/2025
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