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Individual

ANGELA DELRUSSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
PREFERRED BEHAVIORAL HEALTH, 700 AIRPORT ROAD PO, LAKEWOOD, NJ 08701
(732) 367-4700
(732) 364-2253
Mailing address
1201 ROUTE 37 EAST, 2ND FLOOR, ADULT COUNSELING SERVICES, TOMS RIVER, NJ 08753
(908) 278-9073

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00307500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0029807
NJ
Enumeration date
12/19/2006
Last updated
07/09/2007
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