Provider Demographics
NPI:1518542885
Name:O'CONNOR-JOHNSON, VALRIE CLARE (LPC)
Entity Type:Individual
Prefix:
First Name:VALRIE
Middle Name:CLARE
Last Name:O'CONNOR-JOHNSON
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 1:404 WHITEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8217
Mailing Address - Country:US
Mailing Address - Phone:973-489-8036
Mailing Address - Fax:
Practice Address - Street 1:225 DEMOTT LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4875
Practice Address - Country:US
Practice Address - Phone:732-873-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00754700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional