Individual
MR. TERRELL PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
291 RIVER ROAD, CLIFTON, NJ 07014
(862) 227-3975
Mailing address
291 RIVER ROAD, CLIFTON, NJ 07014
(862) 227-3975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00480500
NJ
Other
Enumeration date
10/21/2014
Last updated
12/12/2019
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