Individual
SHANNON SERAGUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40 NORTH AVE, ELIZABETH, NJ 07208-2402
(908) 352-7474
Mailing address
40 NORTH AVE, ELIZABETH, NJ 07208-2402
(908) 354-7474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00772800
NJ
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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