Individual
MS. HEATHER J MANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
123 HOW LN, THE CENTER FOR GREAT EXPECTATIONS, NEW BRUNSWICK, NJ 08901-3653
(732) 993-9762
(732) 626-4544
Mailing address
123 HOW LN, THE CENTER FOR GREAT EXPECTATIONS, NEW BRUNSWICK, NJ 08901-3653
(732) 993-9762
(732) 626-4544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00362400
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00148300
NJ
101YM0800X
Mental Health Counselor
37PC00362400
NJ
101YP2500X
Professional Counselor
Primary
37PC00362400
NJ
Other
Enumeration date
03/11/2013
Last updated
10/10/2019
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