Doctor Name: | MRS. MELANIE JILL STRUBLE |
NPI Number: | 1023167160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LCADC |
License Number: | 37LC00044000 |
Business Practice Address: | 323 Godwin Ave Midland Park, NJ - 074321534 |
Business Phone Number: | 2012519500 |
Business Fax Number: | |
Mailing Address: | 323 Godwin Ave, MIDLAND PARK |
State: | NJ |
Postal Code: | 074321534 |
Phone Number: | 2012519500 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00044000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |