Individual
MRS. JOANN TELESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-4501
Mailing address
4 POST RD, POMPTON PLAINS, NJ 07444-1214
(973) 907-6659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00065600
NJ
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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