Healthcare Provider Details

I. General information

NPI: 1841251097
Provider Name (Legal Business Name): VANESSA PYTEL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CRAIG RD STE 102
MANALAPAN NJ
07726-8735
US

IV. Provider business mailing address

200 CRAIG RD STE 102
MANALAPAN NJ
07726-8735
US

V. Phone/Fax

Practice location:
  • Phone: 732-357-1987
  • Fax:
Mailing address:
  • Phone: 732-357-1987
  • Fax: 732-357-1987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00317500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37PC00317500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: