Individual
ELAINE PEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
795 MAIN ST, HACKENSACK, NJ 07601-4812
(201) 488-5161
(201) 488-5162
Mailing address
271 BOULEVARD, NEW MILFORD, NJ 07646-1707
(201) 560-6389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00314900
NJ
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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