Provider Demographics
NPI:1407086788
Name:CONTE, SUZANNE M (LCADC, CCS)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:M
Last Name:CONTE
Suffix:
Gender:F
Credentials:LCADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 COLFAX RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1119
Mailing Address - Country:US
Mailing Address - Phone:973-218-1192
Mailing Address - Fax:973-218-1915
Practice Address - Street 1:43 PROGRESS STREET
Practice Address - Street 2:D B A: SUBURBAN HABIT OPCO
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-687-7188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00011500101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)