Individual
LAURA LAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
84 MAIN ST, HACKENSACK, NJ 07601-7143
(201) 487-4700
(201) 487-4787
Mailing address
10 PORT ROYAL DR, TOMS RIVER, NJ 08757-3921
(201) 993-3617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00098300
NJ
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183385
—
NJ
05
—
0183393
—
NJ
Enumeration date
07/13/2021
Last updated
07/13/2021
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