Captain, Lissa
Captain, Lissa is an sole proprietor health care provider with primary practice located at 294 Harrington Ave , Closter NJ 07624-1912. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Captain, Lissa can be contacted via phone (973) 650-9078.Contact Information
Primary practice address
294 Harrington Ave
Closter NJ 07624-1912
Phone: (973) 650-9078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05310100 | New Jersey |
Profile Details
| NPI number | 1003196023 |
|---|---|
| LBN Legal business name | Captain, Lissa |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2011 |
| Last updated | Feb 23rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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