| Glenn Siegel, Lpc | |
|
31 Trinity Pl Montclair NJ 07042-2773 | |
| (973) 707-7003 | |
| Not Available |
| Full Name | Glenn Siegel, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 31 Trinity Pl, Montclair, New Jersey |
| Authorized Official Name and Position | Glenn Siegel (LICENSED PROFESSIONAL PROFESSIONAL) |
| Authorized Official Contact | 9737077003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Siegel, Lpc Po Box 210 3644 Valley Rd 2nd Fl Liberty Corner NJ 07938-0210 Ph: () - | Glenn Siegel, Lpc 31 Trinity Pl Montclair NJ 07042-2773 Ph: (973) 707-7003 |
| NPI Number | 1457793523 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457793523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00365900 (New Jersey) | Primary |
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