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Organization

ESTHER GANZ, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ESTHER GANZ M.ED.,LPC,LCADC (COUNSELOR)
(732) 995-1246
Entity
Organization

Contact information

Practice address
80 SCENIC DR, SUITE 2, FREEHOLD, NJ 07728-5210
(732) 995-1246
Mailing address
80 SCENIC DR, SUITE 2, FREEHOLD, NJ 07728-5210
(732) 995-1246

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00032300
NJ
101YP2500X
Professional Counselor
Primary
37PC00104700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LIC#37PC00104700
INDIVIDUAL NPI #170681934
NJ
Enumeration date
06/26/2009
Last updated
06/26/2009
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