Provider Demographics
NPI:1346369097
Name:LAMBRO, EDWARD G (LPC, CCMHC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:G
Last Name:LAMBRO
Suffix:
Gender:M
Credentials:LPC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 QUARTZ LN
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-3343
Mailing Address - Country:US
Mailing Address - Phone:973-345-8410
Mailing Address - Fax:
Practice Address - Street 1:933 RTE 23
Practice Address - Street 2:STE5
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1047
Practice Address - Country:US
Practice Address - Phone:973-345-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0145101YM0800X
NY005740-1101YM0800X
NJ37PC00056700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health