Provider Demographics
NPI:1528889086
Name:KUZLOSKI, DARLENE MARIE (LAC)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:MARIE
Last Name:KUZLOSKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 ROUTE 88
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-2247
Mailing Address - Country:US
Mailing Address - Phone:732-267-6551
Mailing Address - Fax:
Practice Address - Street 1:2400 ROUTE 88
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-2247
Practice Address - Country:US
Practice Address - Phone:732-709-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00793200101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor