Provider Demographics
NPI:1093055162
Name:FLORA, JOANNA (LPAT, LCAT, LAC)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:FLORA
Suffix:
Gender:F
Credentials:LPAT, LCAT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:BYRAM TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-3535
Mailing Address - Country:US
Mailing Address - Phone:845-323-5424
Mailing Address - Fax:
Practice Address - Street 1:13 MANOR DR
Practice Address - Street 2:
Practice Address - City:BYRAM TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07821-3535
Practice Address - Country:US
Practice Address - Phone:845-323-5424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00541600101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor