Individual
DIANE MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
264 JACKSONVILLE RD, LINCOLN PARK, NJ 07035-1514
(973) 963-4600
Mailing address
9 CHRISTINE DR, MORRIS PLAINS, NJ 07950-3109
(973) 476-4743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00212700
NJ
101YP2500X
Professional Counselor
Primary
37PC00488600
NJ
Other
Enumeration date
02/06/2015
Last updated
07/16/2020
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