Doctor Name: | MS. MARY R HAROUN |
NPI Number: | 1215274196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LCADC |
License Number: | 37LC00240100 |
Business Practice Address: | 13 Pinetree Ln Morris Plains, NJ - 079502301 |
Business Phone Number: | 2014006895 |
Business Fax Number: | |
Mailing Address: | 13 Pinetree Ln, MORRIS PLAINS |
State: | NJ |
Postal Code: | 079502301 |
Phone Number: | 2014006895 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2013 |
NPI Last Update Date: | 06/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00240100 |
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: |