Provider Demographics
NPI:1013416882
Name:HARRISON-SMITH, JOANNA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:L
Last Name:HARRISON-SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 HWY/ROUTE 22 E.
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807
Mailing Address - Country:US
Mailing Address - Phone:908-333-2216
Mailing Address - Fax:
Practice Address - Street 1:CATHOLIC CHARITIES DIOCESE OF METUCHEN
Practice Address - Street 2:540 ROUTE 22 EAST
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-333-2216
Practice Address - Fax:609-393-1246
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC0062400101Y00000X
NJ37AC00208100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor