Mountzouris, Diane

Mountzouris, Diane is an individual health care provider with primary practice located at 510 Whitesville Rd , Jackson NJ 08527-5044. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mountzouris, Diane can be contacted via phone (732) 766-9016.

Contact Information

Primary practice address
510 Whitesville Rd Jackson NJ 08527-5044
Phone: (732) 766-9016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00138000 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00449100 New Jersey

Profile Details

NPI number 1982966321
LBN Legal business name Mountzouris, Diane
Credentials LCADC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - about 14 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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