Individual
LISA CRISPINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LCADC
Contact information
Practice address
16 BROAD STREET, SUITE 106, KEYPORT, NJ 07735
(732) 888-4480
(732) 888-4485
Mailing address
16 BROAD STREET, SUITE 106, KEYPORT, NJ 07735
(732) 888-4480
(732) 888-4485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00075500
NJ
101YP2500X
Professional Counselor
Primary
37PC00022400
NJ
Other
Enumeration date
03/20/2006
Last updated
11/07/2024
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