Individual
ANNA VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, LCADC
Contact information
Practice address
39 N CLINTON AVE, TRENTON, NJ 08609-1011
(609) 396-4557
(609) 396-5938
Mailing address
39 N CLINTON AVE, TRENTON, NJ 08609-1011
(609) 396-4557
(609) 396-5938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00222800
NJ
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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