Individual
DANIELLE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 AIRPORT RD STE 7G, LAKEWOOD, NJ 08701-5968
(732) 678-3928
Mailing address
725 AIRPORT RD STE 7G, LAKEWOOD, NJ 08701-5968
(732) 678-3928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
05/11/2017
Last updated
05/11/2017
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