Individual
JUSTIN ADAM SUPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 REGENCY CT, MARLTON, NJ 08053-4239
(856) 223-2222
Mailing address
9 REGENCY CT, MARLTON, NJ 08053-4239
(856) 223-2222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00949000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/13/2026
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