Individual
MR. VITO ANDRISANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CJC, CCS, LCADC
Contact information
Practice address
32 RICHARD SCOTT COURT, HALEDON, NJ 07508-1707
(862) 203-9469
Mailing address
32 RICHARD SCOTT COURT, HALEDON, NJ 07508-1707
(862) 203-9469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00053200
NJ
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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