| Doctor Name: | STACEY ZELENETZ |
| NPI Number: | 1265773667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W., L.C.A.D.C. |
| License Number: | 37LC00111600 |
| Business Practice Address: | 285 Durham Ave Bldg. #6, Suite 2a South Plainfield, NJ - 070802546 |
| Business Phone Number: | 9085488533 |
| Business Fax Number: | 9085488532 |
| Mailing Address: | 285 Durham Ave, Bldg. #6, Suite 2a SOUTH PLAINFIELD |
| State: | NJ |
| Postal Code: | 070802546 |
| Phone Number: | 9085488533 |
| Fax Number: | 9085488532 |
| NPI Enumeration Date: | 03/09/2013 |
| NPI Last Update Date: | 03/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00111600 |
| 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: | |