Individual
ROSE MARGARET MAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC, CCS, MAC
Contact information
Practice address
104 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-4723
(973) 783-6655
(973) 223-1396
Mailing address
104 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-4723
(973) 783-6655
(973) 223-1396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00036500
NJ
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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