Individual
MRS. LISA ROSE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-7552
(908) 994-7554
Mailing address
24 BORELLE SQ, PARLIN, NJ 08859-2302
(973) 900-7999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00233400
NJ
104100000X
Social Worker
Primary
44SL05930500
NJ
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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