Individual
MR. ISIAH LACEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 BROUGHTON AVE, BLOOMFIELD, NJ 07003-3989
(201) 590-4242
Mailing address
100 BROUGHTON AVE, BLOOMFIELD, NJ 07003-3989
(201) 590-4242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00551200
NJ
Other
Enumeration date
03/03/2016
Last updated
02/01/2020
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