Individual
MS. GINA M SPARACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC, LCADC, CCS,
Contact information
Practice address
5 CARROLL AVE STE 5, PENNSVILLE, NJ 08070-2129
(856) 209-3799
Mailing address
12 HILLSIDE AVE, BRIDGETON, NJ 08302-3820
(609) 847-4855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00362100
NJ
101YM0800X
Mental Health Counselor
37AC00668600
NJ
Other
Enumeration date
11/10/2022
Last updated
05/19/2025
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