Provider Demographics
NPI:1376394494
Name:SCHUFFENHAUER, LISA ANN (LPC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:SCHUFFENHAUER
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 1:40 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:NETCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07857-1622
Mailing Address - Country:US
Mailing Address - Phone:973-670-2647
Mailing Address - Fax:
Practice Address - Street 1:40 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:NETCONG
Practice Address - State:NJ
Practice Address - Zip Code:07857-1622
Practice Address - Country:US
Practice Address - Phone:973-670-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00744600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional