Individual
DAMEON M STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
(980) 704-1790
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(609) 977-2249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06594700
NJ
106H00000X
Marriage & Family Therapist
000109
NJ
175T00000X
Peer Specialist
Primary
50062
NJ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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