Doctor Name: | MICHELLE HAGUE |
NPI Number: | 1386782456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LCADC |
License Number: | 37LC00183800 |
Business Practice Address: | 4065 Quakerbridge Road Summit Behavioral Health Princeton Junction, NJ - 08550 |
Business Phone Number: | 6096514001 |
Business Fax Number: | 6092695761 |
Mailing Address: | 1109 Hillcrest Path, MANASQUAN |
State: | NJ |
Postal Code: | 087361619 |
Phone Number: | 9087701604 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00183800 |
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: |