Individual
DEBRA EISENSTEIN-VERRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 WANAQUE AVE, SUITE 5, POMPTON LAKES, NJ 07442-1844
(973) 487-8244
Mailing address
21 MONTEREY DR, WAYNE, NJ 07470-6537
(973) 487-8244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00079100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC00386600
NJ
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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