Individual provider · Type 1 NPI

Mary Reilly, LPC

Professional Counselor · Rutherford, NJ

NPI number 1053776963 Active

Practice location

495 Edgewood Pl
Rutherford, NJ 07070-2607

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC003984000 (NJ)

Professional Counselor: Definition to come...

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About NPI 1053776963

Mary Reilly, LPC's National Provider Identifier is 1053776963, issued on Dec 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rutherford, NJ. The record was last updated on Feb 2, 2016.