Individual
MRS. ALIDE GAONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8880
Mailing address
511 CHESTNUT ST, ROSELLE PARK, NJ 07204-1927
(908) 875-6154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00176400
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00740000
NJ
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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