Doctor Name: | JOANNE AN |
NPI Number: | 1538450143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00417300 |
Business Practice Address: | 611 Route 46 West Hasbrouck Heights, NJ - 07604 |
Business Phone Number: | 2014784181 |
Business Fax Number: | |
Mailing Address: | 610 Valley Health Plz, PARAMUS |
State: | NJ |
Postal Code: | 076523607 |
Phone Number: | 2014784181 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2011 |
NPI Last Update Date: | 04/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00417300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |