Individual
RACHEL M KORNMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
981 ROUTE 22, BRIDGEWATER, NJ 08807-2946
(856) 436-7792
Mailing address
88 JACKSON AVE APT 119, EDISON, NJ 08837-3165
(732) 850-8152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37AC00576800
NJ
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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