Provider Demographics
NPI:1548417694
Name:MOLESKI, SHARON (MA, LPC, LCADC, NCC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MOLESKI
Suffix:
Gender:F
Credentials:MA, LPC, LCADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2433
Mailing Address - Country:US
Mailing Address - Phone:732-531-2600
Mailing Address - Fax:732-517-8567
Practice Address - Street 1:56 JAMESTOWN RD
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2433
Practice Address - Country:US
Practice Address - Phone:732-531-2600
Practice Address - Fax:732-517-8567
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00150500101YA0400X
NJ37PC00371300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)