| Doctor Name: | MS. JOANNE ROACH STICKLES |
| NPI Number: | 1215147772 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 37PC00213600 |
| Business Practice Address: | 933 Route 23 South Suite 10 Pompton Plains, NJ - 07444 |
| Business Phone Number: | 5518047962 |
| Business Fax Number: | 9738395539 |
| Mailing Address: | 139 Midwood Rd, GLEN ROCK |
| State: | NJ |
| Postal Code: | 074521924 |
| Phone Number: | 2014474750 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00213600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |