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NPI Code Detail

MEDICARE: HILARY KROSNEY-REDIKER LPC, LCADC

MEDICARE: HILARY KROSNEY-REDIKER LPC, LCADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00275800NJ
2101YM0800XMental Health Counselor37PC0061500NJ

General Provider Information

NPI Number : 1588928600
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILARY KROSNEY-REDIKER LPC, LCADC
Provider Business Mailing Address
First Line : 111 TOWN SQUARE PL STE 1238
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07310-1810
Country : US
Telephone Number : 732-455-2629
Fax Number :
Provider Business Practice Location Address
First Line : 111 TOWN SQUARE PL STE 1238
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07310-1810
Country : US
Telephone Number : 732-455-2629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 05/21/2026

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