Individual
NATALIE MISCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCADC
Contact information
Practice address
1610 ROUTE 88, BRICK, NJ 08724-3018
(732) 403-6835
Mailing address
16 LAKE AVE, UNIT 31, OCEAN GROVE, NJ 07756-1696
(732) 403-6835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00180100
NJ
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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