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Individual

MRS. DINA MARIE RICCI-CIANCITTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, MS

Contact information

Practice address
105 LAMP POST LN, CHERRY HILL, NJ 08003-1311
(856) 489-3996
Mailing address
105 LAMP POST LN, CHERRY HILL, NJ 08003-1311
(856) 489-3996

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00356600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202192
NATIONAL BOARD CERT COUNS
NJ
01
37PC00356600
LICENSED PROFESSINAL COUN
NJ
01
566514
SUBSTANCE AWARENESS COORD
NJ
Enumeration date
03/30/2007
Last updated
07/08/2007
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