-- STACY BASARA -- LAC
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1124404041- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LAC
- Status
- Active
Contact & Location
- Address
- 2135 HIGHWAY 33, HAMILTON, NJ, 086901740
- Phone
- (609) 588-9989
Specialties & Taxonomies
Counselor
Primary License: NJ #37AC00159500