Individual
JON R DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAT
Contact information
Practice address
7 LUM AVE, CHATHAM, NJ 07928-2320
(973) 879-3887
Mailing address
7 LUM AVE, CHATHAM, NJ 07928-2320
(973) 879-3887
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
2529-01
NY
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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