Individual
LISA MARIE DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9 ALPINE DR, RANDOLPH, NJ 07869-4801
(201) 230-2551
Mailing address
PO BOX 426, MOUNT FREEDOM, NJ 07970-0426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00396800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4138601
—
NJ
Enumeration date
02/21/2011
Last updated
03/22/2021
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