| Doctor Name: | ARLENE K. LICATA |
| NPI Number: | 1285820423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 37PC00307100 |
| Business Practice Address: | 146 Lakeview Dr S Suite 300 Gibbsboro, NJ - 080261018 |
| Business Phone Number: | 8562614011 |
| Business Fax Number: | 8567841102 |
| Mailing Address: | 146 Lakeview Dr S, Suite 300 GIBBSBORO |
| State: | NJ |
| Postal Code: | 080261018 |
| Phone Number: | 8562614011 |
| Fax Number: | 8567841102 |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00307100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |