Provider Demographics
NPI:1114303948
Name:VARUGHESE, JOE T (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:T
Last Name:VARUGHESE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 WILCOX ST
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-3114
Mailing Address - Country:US
Mailing Address - Phone:732-718-1942
Mailing Address - Fax:
Practice Address - Street 1:76 WILCOX ST
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-3114
Practice Address - Country:US
Practice Address - Phone:732-718-1942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00539900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional