Individual
ELISABETH MOSCARITOLO KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LGPC, LAC
Contact information
Practice address
196 MADISON AVE, NEW MILFORD, NJ 07646-2701
(201) 370-7644
Mailing address
196 MADISON AVE, NEW MILFORD, NJ 07646-2701
(201) 370-7644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00240500
NJ
101YM0800X
Mental Health Counselor
LGP5766
MD
Other
Enumeration date
08/26/2014
Last updated
12/04/2015
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