Individual
STACIA NEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
151 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3907
(732) 580-0090
Mailing address
42 LARKSPUR DR, DAYTON, NJ 08810-1450
(732) 485-6447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00552600
NJ
101YM0800X
Mental Health Counselor
37AC00105200
NJ
Other
Enumeration date
01/21/2014
Last updated
11/14/2024
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