Individual
AMBER POLTRICITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MILL RIDGE LN STE 204, CHESTER, NJ 07930-2489
(201) 212-5049
Mailing address
1 MILL RIDGE LN STE 204, CHESTER, NJ 07930-2489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00650100
NJ
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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