Individual
LISA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3932
(973) 714-3762
Mailing address
PO BOX 152, CEDAR GROVE, NJ 07009-0152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00794600
NJ
Other
Enumeration date
07/23/2019
Last updated
07/26/2022
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