Provider Demographics
NPI:1457846503
Name:ENGLANDER, STEPHANIE L (MS, LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:ENGLANDER
Suffix:
Gender:F
Credentials:MS, LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 ROUTE 34 STE 205
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2439
Mailing Address - Country:US
Mailing Address - Phone:732-858-1474
Mailing Address - Fax:
Practice Address - Street 1:281 ROUTE 34
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722
Practice Address - Country:US
Practice Address - Phone:000-000-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00579000101YP2500X
NJ37LC00249800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional