Provider Demographics
NPI:1255649927
Name:APOL, MARY RUTH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:RUTH
Last Name:APOL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7 DOIG RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7433
Mailing Address - Country:US
Mailing Address - Phone:973-628-0234
Mailing Address - Fax:973-628-1955
Practice Address - Street 1:7 DOIG RD
Practice Address - Street 2:SUITE 2
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7433
Practice Address - Country:US
Practice Address - Phone:973-628-0234
Practice Address - Fax:973-628-1955
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00295900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional