Individual provider · Type 1 NPI

Scott Maciag, LPC

Professional Counselor · Lyndhurst, NJ

NPI number 1417517004 Active

Practice location

1050 Wall St W Ste 310
Lyndhurst, NJ 07071-3615

Fax (847) 859-5885

Mailing address

4 Century Dr Ste 100
Parsippany, NJ 07054-4606

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X37AC00410000 (NJ)
Professional Counselor Primary 101YP2500X37PC01021400 (NJ)

Professional Counselor: Definition to come...

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About NPI 1417517004

Scott Maciag, LPC's National Provider Identifier is 1417517004, issued on Jun 17, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lyndhurst, NJ. The record was last updated on Apr 10, 2024.