Individual
LISA FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
551 PARK AVE STE 7, SCOTCH PLAINS, NJ 07076-1768
(732) 610-7703
Mailing address
300 LAFAYETTE ST APT 2, NEWARK, NJ 07105-2120
(732) 610-7703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00276800
NJ
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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