Individual
JANE MARA LUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
25 MAIN ST, SPARTA, NJ 07871-1937
(973) 903-1514
Mailing address
25 MAIN ST, SPARTA, NJ 07871-1937
(973) 903-1514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00117600
NJ
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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