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Individual

ALLISON LEE MISKULIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCADC, LPC

Contact information

Practice address
64 MUSCONETCONG AVE, STANHOPE, NJ 07874-2939
(973) 699-4918
Mailing address
64 MUSCONETCONG AVE, STANHOPE, NJ 07874-2939
(973) 699-4918

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00160800
NJ
101YP2500X
Professional Counselor
37PC00286000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4138601
NJ
Enumeration date
09/13/2011
Last updated
01/25/2013
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