Individual
TAHLIA DELORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
100 WALNUT AVE STE 210, CLARK, NJ 07066-1247
(732) 352-3745
Mailing address
9 MARY ST, CARTERET, NJ 07008-2207
(201) 417-2876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00314300
NJ
101Y00000X
Counselor
Primary
37PC00663600
NJ
Other
Enumeration date
09/25/2016
Last updated
10/27/2019
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