Individual
IRENE HOYLIE-RISTAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, LAC, NCC
Contact information
Practice address
57 SOUTH MAIN STREET, SUITE 162, NEPTUNE, NJ 07753-3333
(732) 822-6520
Mailing address
57 SOUTH MAIN STREET, SUITE 162, NEPTUNE, NJ 07753-3333
(732) 822-6520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00186200
NJ
101YP2500X
Professional Counselor
37PC00608300
NJ
Other
Enumeration date
08/14/2014
Last updated
09/06/2019
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