Individual
GABRIELLE WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
18 MADISON AVE, FANWOOD, NJ 07023-1050
(973) 943-3420
Mailing address
18 MADISON AVE, FANWOOD, NJ 07023-1050
(973) 943-3420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00218200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05651400
NJ
Other
Enumeration date
06/29/2016
Last updated
02/23/2023
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