Individual
LISA MAURIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 OAK RIDGE RD, MONTAGUE, NJ 07827-3432
(862) 354-0875
Mailing address
29 OAK RIDGE RD, MONTAGUE, NJ 07827-3432
(862) 354-0875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00895000
NJ
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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