Doctor Name: | CAROLE DE FINO |
NPI Number: | 1316008840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D, LCADC |
License Number: | 37LC00012000 |
Business Practice Address: | 448 Louisa Ave Wyckoff, NJ - 074813025 |
Business Phone Number: | 2014441965 |
Business Fax Number: | 2014441965 |
Mailing Address: | 448 Louisa Ave, WYCKOFF |
State: | NJ |
Postal Code: | 074813025 |
Phone Number: | 2014441965 |
Fax Number: | 2014441965 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00012000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |