Individual
MS. JULIE L REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC, ACS
Contact information
Practice address
12 LEYSTRA LN, WAYNE, NJ 07470-2419
(551) 427-6351
Mailing address
12 LEYSTRA LN, WAYNE, NJ 07470-2419
(551) 427-6351
(973) 316-5790
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00528200
NJ
Other
Enumeration date
08/08/2014
Last updated
03/06/2021
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