Organization
CORE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FEDDER MSW, LCSW, LCADC (OWNER)
(201) 875-5699
Entity
Organization
Contact information
Practice address
560 SYLVAN AVE, EXECUTIVE SUITES, ENGLEWOOD CLIFFS, NJ 07632-3101
(201) 875-5699
(201) 875-5448
Mailing address
311 S RIDGEWOOD RD, SOUTH ORANGE, NJ 07079-1476
(201) 875-5699
(201) 875-5448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00081100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04709400
NJ
Other
Enumeration date
03/31/2014
Last updated
07/08/2014
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