Individual
STACEY STABACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 KNIGHTSBRIDGE RD, SUITE 525, PISCATAWAY, NJ 08854-3948
(908) 463-9665
Mailing address
1 CRABAPPLE LN, FRANKLIN PARK, NJ 08823-1406
(908) 463-9665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00461000
NJ
Other
Enumeration date
11/06/2012
Last updated
07/29/2013
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