Organization
MOUNTAIN LAKES PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE R. VANNEST PH.D. (PSYCHOLOGIST/OWNER)
(201) 710-4311
Entity
Organization
Contact information
Practice address
420 BOULEVARD STE 109, MOUNTAIN LAKES, NJ 07046-1733
(201) 710-4311
(973) 588-4655
Mailing address
420 BOULEVARD STE 109, MOUNTAIN LAKES, NJ 07046-1733
(201) 710-4311
(973) 588-4655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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