Individual
KIERSTEN MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
1341 HAMBURG TPKE STE 1-5, WAYNE, NJ 07470-4042
(973) 250-8265
Mailing address
138 NOTCH RD, OAK RIDGE, NJ 07438-8863
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
38PC00684500
NJ
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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