Individual provider · Type 1 NPI

Alicia Kupchack, LAC

Professional Counselor · Hazlet, NJ

NPI number 1659119774 Active

Practice location

1 Bethany Rd Ste 92
Hazlet, NJ 07730-1669

Mailing address

405 Main St Apt 211
Little Falls, NJ 07424-1275

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37AC00618100 (NJ)

Professional Counselor: Definition to come...

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About NPI 1659119774

Alicia Kupchack, LAC's National Provider Identifier is 1659119774, issued on Jul 15, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hazlet, NJ. The record was last updated on Jul 15, 2024.