Individual provider · Type 1 NPI

Diane Mountzouris, LCADC, LPC

Professional Counselor · Jackson, NJ

NPI number 1982966321 Active

Practice location

510 Whitesville Rd
Jackson, NJ 08527-5044

Call (732) 766-9016 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00138000 (NJ)
Professional Counselor Primary 101YP2500X37PC00449100 (NJ)

Professional Counselor: Definition to come...

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About NPI 1982966321

Diane Mountzouris, LCADC, LPC's National Provider Identifier is 1982966321, issued on Jun 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, NJ. The record was last updated on Jun 12, 2012.