Individual
MEGAN HERELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
3322 US HIGHWAY 22 STE 1401, BRANCHBURG, NJ 08876-4407
(908) 242-3634
Mailing address
102 TIDEWATER ST APT 3C, JERSEY CITY, NJ 07302-7374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37FA00039400
NJ
251B00000X
Case Management Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2016
Last updated
10/03/2023
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