Individual provider · Type 1 NPI

Grace Lynn Suttera, M.ED., LAC

Mental Health Counselor · Glassboro, NJ

NPI number 1104762046 Active

Practice location

42 Delsea Dr S
Glassboro, NJ 08028-2621

Mailing address

124 Vermont Ave
Villas, NJ 08251-1549

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3071687 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1104762046

Grace Lynn Suttera, M.ED., LAC's National Provider Identifier is 1104762046, issued on Apr 24, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glassboro, NJ. The record was last updated on Apr 24, 2026.