Doctor Name: | MR. JOSHUA P. DURAND |
NPI Number: | 1003049701 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 37PC00396900 |
Business Practice Address: | 42 Delsea Dr S Glassboro, NJ - 080282621 |
Business Phone Number: | 8568630006 |
Business Fax Number: | 8568817614 |
Mailing Address: | 25 9th Ave, HADDON HEIGHTS |
State: | NJ |
Postal Code: | 080351202 |
Phone Number: | 8567016728 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2009 |
NPI Last Update Date: | 08/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00396900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |