Individual
VIRGINIA HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
777 GROVE AVE, EDISON, NJ 08820-2770
(908) 421-5659
Mailing address
PO BOX 128, SOUTH PLAINFIELD, NJ 07080-0128
(908) 421-5659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00183700
NJ
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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