Individual
CARISSA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3499 ROUTE 9 N STE 2C, FREEHOLD, NJ 07728-3277
(732) 982-2888
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00401400
NJ
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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