Individual
GLENN BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LAC. NCC
Contact information
Practice address
1 BETHANY RD STE 92, HAZLET, NJ 07730-1669
(855) 500-3848
Mailing address
1 BETHANY RD STE 92, HAZLET, NJ 07730-1669
(201) 538-4565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00612900
NJ
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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