Individual
MRS. TERESA MARIE FETHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
1001 ROUTE 517 STE 1, HACKETTSTOWN, NJ 07840-2731
(908) 343-4911
Mailing address
1001 ROUTE 517 STE 1, HACKETTSTOWN, NJ 07840-2731
(908) 343-4911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00191500
NJ
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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