Individual
MS. DIANE STANLEY
Active
Individual
MS. DIANE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00099300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04782100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050156
—
NJ
Enumeration date
12/08/2006
Last updated
08/12/2019
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