Individual
MS. LISA THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, LAC, NCC
Contact information
Practice address
32 CLINTON ST, PATERSON, NJ 07522-1775
(973) 796-6594
Mailing address
337 MYRTLE AVE, NEPTUNE, NJ 07753-4635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00276400
NJ
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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