Individual
TERESA M ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1581 ROUTE 23, SUITE 1, WAYNE, NJ 07470-7508
(908) 338-3578
Mailing address
1581 ROUTE 23, WAYNE, NJ 07470-7508
(908) 338-3578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00414600
NJ
Other
Enumeration date
11/15/2012
Last updated
11/20/2012
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