Individual
CARISSA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 LACEY RD, FORKED RIVER, NJ 08731-2200
(732) 908-7753
Mailing address
971 US HIGHWAY 202 N STE A, BRANCHBURG, NJ 08876-3757
(329) 087-7537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC01119000
NJ
Other
Enumeration date
07/18/2022
Last updated
04/28/2025
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