Individual
MRS. JULIA BARDALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, MT-BC
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
(856) 415-7574
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00016800
NJ
225A00000X
Music Therapist
12130
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002163
—
NJ
Enumeration date
11/16/2020
Last updated
09/03/2024
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