Individual
TINA PISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
174 UNION ST, RIDGEWOOD, NJ 07450-4498
(201) 652-5114
Mailing address
174 UNION ST, RIDGEWOOD, NJ 07450-4498
(201) 652-5114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00249800
NJ
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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