Individual
MS. LINDA MAY LIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
36 HAWTHORNE PL, 2F, MONTCLAIR, NJ 07042-3229
(201) 248-7869
(973) 707-5749
Mailing address
36 HAWTHORNE PL, 2F, MONTCLAIR, NJ 07042-3229
(201) 248-7869
(973) 707-5749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00004800
NJ
Other
Enumeration date
12/05/2010
Last updated
12/05/2010
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