Doctor Name: | KATHERINE GLUCHOSKI |
NPI Number: | 1174670384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00325300 |
Business Practice Address: | 1592b Union Valley Rd West Milford, NJ - 074801363 |
Business Phone Number: | 9736571222 |
Business Fax Number: | 8664411136 |
Mailing Address: | 189 Bearfort Rd, WEST MILFORD |
State: | NJ |
Postal Code: | 074801403 |
Phone Number: | 9737287275 |
Fax Number: | 8664411136 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00325300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |