Individual
LISA MUSOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PARAGON WAY STE 800, FREEHOLD, NJ 07728-9573
(732) 393-8391
(732) 308-4500
Mailing address
2 PARAGON WAY STE 800, FREEHOLD, NJ 07728-9573
(732) 393-8391
(732) 308-4500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AC-GTL-20-01822
NJ
101YP2500X
Professional Counselor
Primary
37AC00581100
NJ
Other
Enumeration date
12/10/2020
Last updated
11/06/2022
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