Robert Reilly, LPC
Counselor, Professional in Matawan, NJ. Individual provider (NPI-1).
NPI number1053781484
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1053781484
- Entity type
- Individual (NPI-1)
- Name
- Robert Reilly
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2015
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37AC00266300 | NJ | Yes |
Practice location
1070 Route 34 Ste 214Matawan, NJ 07747-3469
Phone 732-704-4331
Mailing address
23 N Delsea Dr Unit BClayton, NJ 08312-1637
Phone 856-423-7700
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