Most Relevant Information
Provider Data
| NPI Number: | 1003494428 |
| Provider Name: | COLLEEN BODEK LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 37PC00753400 |
Most Important Dates
| Enumeration Date: | 03/29/2021 |
| Last Updated: | 03/29/2021 |
Provider Practice Location
1205 ROGERS WALK
MOUNT LAUREL
NJ
080543428
Practice Location Phone/Fax
| Phone: | 9082303407 |
| Fax: |
Provider Mailing Location
PO BOX 1531
CRANFORD
NJ
070165531
Provider Mailing Phone/Fax
| Phone: | 9082928810 |
| Fax: |