Individual
MS. KAREN GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
82 NEWARK POMPTON TPKE, SUITE # 2, RIVERDALE, NJ 07457-1427
(973) 706-6079
(973) 706-6079
Mailing address
3 AUGUSTA ST, PEQUANNOCK, NJ 07440-1505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00012900
NJ
101YM0800X
Mental Health Counselor
37PC00076100
NJ
106H00000X
Marriage & Family Therapist
Primary
37FI00148300
NJ
Other
Enumeration date
07/18/2006
Last updated
07/14/2011
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