Individual
JUANITA NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LCADC
Contact information
Practice address
249 S DELSEA DR, CLAYTON, NJ 08312-2203
(856) 899-7130
(856) 863-3501
Mailing address
249 S DELSEA DR, CLAYTON, NJ 08312-2203
(856) 899-7130
(856) 863-3501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00014700
NJ
101YP2500X
Professional Counselor
Primary
37PC00411800
NJ
Other
Enumeration date
05/12/2011
Last updated
03/02/2015
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