Doctor Name: | MS. LILIKO OGASAWARA |
NPI Number: | 1467698365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCADC,PC |
License Number: | 37PC00377000 |
Business Practice Address: | 2 Park Avenue Dumont, NJ - 07628 |
Business Phone Number: | 2013854400 |
Business Fax Number: | 2013847067 |
Mailing Address: | 93 W Palisade Ave, ENGLEWOOD |
State: | NJ |
Postal Code: | 076312611 |
Phone Number: | 2015670500 |
Fax Number: | 2013847067 |
NPI Enumeration Date: | 12/23/2008 |
NPI Last Update Date: | 12/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00377000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |