Individual
AVA LUCIANA BERENATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
175 KINDERKAMACK RD # 1042, PARK RIDGE, NJ 07656-1335
(856) 433-4397
Mailing address
1525 PINE AVE, VOORHEES, NJ 08043-3630
(856) 298-6685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00825100
NJ
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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