Individual
DIANE HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MED, LPC, LCADC
Contact information
Practice address
19 N COUNTY LINE RD, JACKSON, NJ 08527-1466
(908) 373-1153
Mailing address
404 DAFFODIL DR, JACKSON, NJ 08527-4125
(908) 461-6931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00402300
NJ
101YM0800X
Mental Health Counselor
Primary
37PC01127400
NJ
Other
Enumeration date
06/01/2021
Last updated
04/25/2025
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