Organization
DANA RISTESKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA RISTESKA MSW (OWNER/LEAD CLINICIAN)
(908) 674-5407
Entity
Organization
Contact information
Practice address
101 MOUNTAIN CT STE 101B, HACKETTSTOWN, NJ 07840-2300
(908) 674-5407
Mailing address
PO BOX 75, SUITE 101B, HOPE, NJ 07844
(908) 674-5407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05645300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902209000
NPI NUMBER
NJ
Enumeration date
05/19/2017
Last updated
05/25/2017
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