Individual provider · Type 1 NPI
Rose Fedechko, LPC/COTA
Professional Counselor · Mantua, NJ
NPI number
1104600758
Active
Practice location
550 Bridgeton Pike Ste 2
Mantua, NJ 08051-1318
Mailing address
PO Box 366
Mount Royal, NJ 08061-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 46TA09094500 (NJ) |
| Professional Counselor Primary | 101YP2500X | 37PC01223700 (NJ) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Mantua
About NPI 1104600758
Rose Fedechko, LPC/COTA's National Provider Identifier is 1104600758, issued on Aug 23, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mantua, NJ. The record was last updated on Apr 9, 2026.