Doctor Name: | ALLISON LEE MISKULIN |
NPI Number: | 1508148875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCADC, LPC |
License Number: | 37PC00286000 |
Business Practice Address: | 64 Musconetcong Ave Stanhope, NJ - 078742939 |
Business Phone Number: | 9736994918 |
Business Fax Number: | |
Mailing Address: | 64 Musconetcong Ave, STANHOPE |
State: | NJ |
Postal Code: | 078742939 |
Phone Number: | 9736994918 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2011 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00286000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |