Individual
THERESA M PEDERNERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
280 NEWTON SPARTA RD STE 2, NEWTON, NJ 07860-2775
(973) 786-3535
(973) 786-1591
Mailing address
22 WOODLAWN RD, SPARTA, NJ 07871-2103
(973) 980-6147
(973) 298-2163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00270400
NJ
Other
Enumeration date
04/10/2018
Last updated
07/17/2019
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