Individual
SUJATA M KULKARNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-5654
Mailing address
201 LYONS AVENUE, NEWARK, NJ 07112
(973) 926-5654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37LC00146600
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00146600
NJ
Other
Enumeration date
03/19/2020
Last updated
10/02/2020
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