Doctor Name: | JASON MARCHITTO |
NPI Number: | 1063666535 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 37PC00380900 |
Business Practice Address: | 185 State Route 183 Stanhope, NJ - 078742646 |
Business Phone Number: | 9734261640 |
Business Fax Number: | 9734261641 |
Mailing Address: | 185 State Route 183, STANHOPE |
State: | NJ |
Postal Code: | 078742646 |
Phone Number: | 9734261640 |
Fax Number: | 9734261641 |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 11/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00380900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |