Individual
LISA IRENE THOMAS EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
2600 TILTON RD UNIT 5147, EGG HARBOR TOWNSHIP, NJ 08234-1831
(800) 484-1890
Mailing address
1251 N OHIO AVE APT 1, ATLANTIC CITY, NJ 08401-1825
(252) 665-6795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00223900
NJ
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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