Individual
DIANA TELUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 MAIN RD STE 202, MONTVILLE, NJ 07045-8960
(973) 728-7788
Mailing address
390 MAIN RD STE 202, MONTVILLE, NJ 07045-8960
(973) 728-7788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00362900
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00740600
NJ
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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