Provider Demographics
NPI:1033775630
Name:LAMBDON & ASSOCIATES RESTORATION COUNSELING, INC
Entity Type:Organization
Organization Name:LAMBDON & ASSOCIATES RESTORATION COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-758-8988
Mailing Address - Street 1:PO BOX 6221
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-0221
Mailing Address - Country:US
Mailing Address - Phone:908-758-8988
Mailing Address - Fax:908-561-0616
Practice Address - Street 1:506 SOUTH AVENUE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062
Practice Address - Country:US
Practice Address - Phone:908-758-8988
Practice Address - Fax:908-561-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty