Individual
MS. LORI O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCADC
Contact information
Practice address
630 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(856) 547-1107
(856) 547-1130
Mailing address
630 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(856) 547-1107
(856) 547-1130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00070300
NJ
101YM0800X
Mental Health Counselor
37PC00282100
NJ
101YM0800X
Mental Health Counselor
PC002352
PA
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105655000
BLUE CROSS BLUE SHIELD ID
NJ
01
—
534834000
MAGELLAN ID
NJ
Enumeration date
12/23/2006
Last updated
02/28/2023
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