Individual
REBECCA SUZANNE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
70 PARK ST, SUITE 104, MONTCLAIR, NJ 07042-5907
(848) 628-4027
(973) 233-1004
Mailing address
70 PARK ST, SUITE 104, MONTCLAIR, NJ 07042-5907
(848) 628-4027
(973) 233-1004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00181900
NJ
Other
Enumeration date
02/11/2014
Last updated
04/19/2017
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