Active NPIIndividual providerSole proprietor

Christiana Rutkowski, LAC

Counselor, Mental Health in Pemberton, New Jersey

NPI Number1659966588
Practice location
30 Brandywine RD, Pemberton, NJ 08068-1307
Fax
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Last updated
March 3, 2021

Christiana Rutkowski is a Counselor, Mental Health based in Pemberton, NJ. Christiana Rutkowski practices in Pemberton, NJ and has the professional credentials of LAC. The NPI Number for Christiana Rutkowski is 1659966588 and holds a License No. 37AC00560900 (NJ). The current practice location address for Christiana Rutkowski is 30 Brandywine RD, Pemberton, NJ 08068-1307 and can be reached out via phone at 484-515-6125.

Provider Profile Details

NPI Number
1659966588
Provider Name
Christiana Rutkowski
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
30 Brandywine RD, Pemberton, NJ 08068-1307
Phone Number
484-515-6125
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 3, 2021
Last Update Date
March 3, 2021
Certification Date
March 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Brandywine RD
Pemberton, NJ 08068-1307
Zip
08068-1307
Phone Number
484-515-6125
Pemberton, NJ 08068Get directions →

Provider Business Mailing Address Details

Address
26 Fish Hawk Dr
Middletown, NJ 07748-3247
City
Middletown
State
NJ
Zip
07748-3247
Phone Number
732-320-0944

License Information

License Number
37AC00560900
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christiana Rutkowski, LAC?

The NPI number of Christiana Rutkowski, LAC is 1659966588. It was assigned on March 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Christiana Rutkowski, LAC?

Christiana Rutkowski, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00560900.

Where does Christiana Rutkowski, LAC practice?

The practice location is 30 Brandywine RD, Pemberton, NJ 08068-1307. The office can be reached at 484-515-6125 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659966588 directly on the NPPES registry website.

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