Provider Demographics
NPI:1407314545
Name:ESCRIBANO, ANGELICA (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:ESCRIBANO
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 1:124 GREGORY AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4856
Mailing Address - Country:US
Mailing Address - Phone:973-928-7244
Mailing Address - Fax:973-777-1712
Practice Address - Street 1:124 GREGORY AVE STE 202
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4856
Practice Address - Country:US
Practice Address - Phone:973-928-7244
Practice Address - Fax:973-777-1712
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00691000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional