Healthcare Provider Details

I. General information

NPI: 1457001141
Provider Name (Legal Business Name): KATHERINE G WROBEL MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 NORTH AVE E STE 1A
CRANFORD NJ
07016-2461
US

IV. Provider business mailing address

340 NORTH AVE E STE 1A
CRANFORD NJ
07016-2461
US

V. Phone/Fax

Practice location:
  • Phone: 908-913-7704
  • Fax: 908-325-7793
Mailing address:
  • Phone: 908-913-7704
  • Fax: 908-325-7793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00226000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00796800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: