| Organization Name: | LDK COUNSELING, LLC |
| NPI Number: | 1609035401 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE GAYLE KUBISIAK (OWNER) |
| Mailing Address: | 786 Mountain Blvd Suite 102 Watchung |
| State: | NJ US |
| Postal Code: | 070696268 |
| Phone Number: | 9087553055 |
| Fax Number: | 9087553155 |
| NPI Enumeration Date: | 06/06/2008 |
| NPI Last Update Date: | 06/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00310900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |