Provider Demographics
NPI:1568221679
Name:HAROLD CREARY MA LPC
Entity Type:Organization
Organization Name:HAROLD CREARY MA LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:CREARY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:201-463-2261
Mailing Address - Street 1:28 MILLBURN AVE.
Mailing Address - Street 2:SUITE 7, 2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081
Mailing Address - Country:US
Mailing Address - Phone:201-463-2261
Mailing Address - Fax:973-328-1859
Practice Address - Street 1:28 MILLBURN AVE.
Practice Address - Street 2:SUITE 7, 2ND FLOOR
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081
Practice Address - Country:US
Practice Address - Phone:201-463-2261
Practice Address - Fax:973-328-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health