Individual
STACEY BLAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
710 VAUGHN AVE, TOMS RIVER, NJ 08753-4510
(908) 343-9530
Mailing address
710 VAUGHN AVE, TOMS RIVER, NJ 08753-4510
(908) 343-9530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00133000
NJ
101YP2500X
Professional Counselor
Primary
37PC00350900
NJ
Other
Enumeration date
06/19/2012
Last updated
04/29/2026
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