Individual
MEGAN TANGRADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC, LCADC
Contact information
Practice address
333 TILTON RD, NORTHFIELD, NJ 08225-1253
(848) 209-6482
Mailing address
333 TILTON RD, NORTHFIELD, NJ 08225-1253
(856) 340-0940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00340100
NJ
101YM0800X
Mental Health Counselor
37AC00521600
NJ
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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