Individual
MS. KIMBERLY MARIE LORAH-LIDESTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
71 COVENTRY WAY, RINGWOOD, NJ 07456
(201) 707-6972
Mailing address
71 COVENTRY WAY, RINGWOOD, NJ 07456
(201) 707-6972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00033400
NJ
Other
Enumeration date
02/02/2018
Last updated
07/21/2022
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