Individual
DEBRA PANCIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
671 HOES LANE WEST, PISCATAWAY, NJ 08855
(732) 235-4434
Mailing address
671 HOES LANE WEST, PISCATAWAY, NJ 08855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00214800
NJ
101YP2500X
Professional Counselor
Primary
37AC00316900
NJ
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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