| Doctor Name: | REBECCA PELLER |
| NPI Number: | 1801207055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00497000 |
| Business Practice Address: | 414 Eagle Rock Ave Suite 206 West Orange, NJ - 070524229 |
| Business Phone Number: | 9733242712 |
| Business Fax Number: | |
| Mailing Address: | 25 Kennedy Blvd, Suite 600 EAST BRUNSWICK |
| State: | NJ |
| Postal Code: | 088161259 |
| Phone Number: | 7322576662 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2014 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00497000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |