Provider Demographics
NPI:1518336957
Name:LADIN, ROCHELLE (LPC)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:LADIN
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 1:2 VARNUM LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-2923
Mailing Address - Country:US
Mailing Address - Phone:732-589-1780
Mailing Address - Fax:
Practice Address - Street 1:2 VARNUM LN
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-2923
Practice Address - Country:US
Practice Address - Phone:732-598-5749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00519100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional