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Ms. Anne Catherine Portine- Kudlac, MA,RDT,LCADC,DRCC
Recreation Therapist in Butler, New Jersey
NPI 1811244981

Anne Catherine Portine- Kudlac is a Recreation Therapist based in Butler, NJ. Anne Catherine Portine- Kudlac practices in Butler, NJ and has the professional credentials of MA,RDT,LCADC,DRCC. The NPI Number for Anne Catherine Portine- Kudlac is 1811244981 and holds a License No. 2035 (New Jersey).

The current practice location address for Anne Catherine Portine- Kudlac is 19 Excelsior Pl, Butler, NJ and can be reached out via phone at 973-557-1545.

Location: 19 Excelsior Pl, Butler, NJ, 07405-1511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811244981
Provider Name
Anne Catherine Portine- Kudlac
Credential
MA,RDT,LCADC,DRCC
Provider Entity Type
Individual
Gender
Female
Address
19 Excelsior Pl, Butler, NJ, 07405-1511
Phone Number
973-557-1545
Fax Number
Provider Enumeration Date
08/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19 Excelsior Pl
City
Butler
State
New Jersey
Zip
07405-1511
Phone Number
973-557-1545
Fax Number
person
Provider Business Mailing Address Details
Address
19 Excelsior Pl
City
Butler
State
New Jersey
Zip
07405-1511
Phone Number
973-557-1545
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
239 ()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
37LC00121500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
2035 (New Jersey)
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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