Individual
MARQUETTA S SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 725-9084
(856) 881-5508
Mailing address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 725-9084
(856) 881-5508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00382900
NJ
101YP2500X
Professional Counselor
Primary
37PC00788500
NJ
Other
Enumeration date
10/29/2019
Last updated
02/24/2026
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