Doctor Name: | MS. CORINNE ZUPKO |
NPI Number: | 1376720110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00345500 |
Business Practice Address: | 92 Us Highway 9 C/o Yoga Plus Herbs Englishtown, NJ - 077268229 |
Business Phone Number: | 7327225353 |
Business Fax Number: | |
Mailing Address: | 57 S Main St, #199 NEPTUNE |
State: | NJ |
Postal Code: | 077535032 |
Phone Number: | 7327225353 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2008 |
NPI Last Update Date: | 01/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00345500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |