Individual
MS. CAROL ANN ST.JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
380 PROSPECT AVE APT 10B, HACKENSACK, NJ 07601-2559
(201) 447-5909
Mailing address
380 PROSPECT AVE APT 10B, HACKENSACK, NJ 07601-2559
(201) 447-5909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00125300
NJ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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