Provider Demographics
NPI:1548797798
Name:MONSERRATE, AMBER P (LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:P
Last Name:MONSERRATE
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 1:2114 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-2632
Mailing Address - Country:US
Mailing Address - Phone:856-404-8685
Mailing Address - Fax:856-842-5106
Practice Address - Street 1:375 N MAIN ST STE A2
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1482
Practice Address - Country:US
Practice Address - Phone:856-404-8685
Practice Address - Fax:856-553-0665
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-18
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00249000101YA0400X
NJ37PC00721100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)