Individual
TARA MARIE COLANDREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17 N 13TH ST, KENILWORTH, NJ 07033-1551
(908) 591-4056
Mailing address
17 N 13TH ST, KENILWORTH, NJ 07033-1551
(908) 591-4056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00495900
NJ
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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