Individual provider · Type 1 NPI
Eleanor Marie Stucker, LCSW
Mental Health Counselor · Hackensack, NJ
NPI number
1003933938
Active
Practice location
316 Prospect Ave Apt 6A
Hackensack, NJ 07601-2526
Fax (201) 525-1168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 44SC00604000 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1003933938
Eleanor Marie Stucker, LCSW's National Provider Identifier is 1003933938, issued on Mar 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 8, 2007.