Individual
MS. LORRAINE MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 6TH AVE UNIT 302, ASBURY PARK, NJ 07712-5518
(908) 723-7400
Mailing address
301 6TH AVE UNIT 302, ASBURY PARK, NJ 07712-5518
(908) 723-7400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00235100
NJ
101YP2500X
Professional Counselor
Primary
37PC00502800
NJ
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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