Provider Demographics
NPI:1598783581
Name:GENOVESE, JAMES (LPC, LCADC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:GENOVESE
Suffix:
Gender:M
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 HIGHWAY 36, SUITE 206
Mailing Address - Street 2:MILESTONE GROUP LLC
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716
Mailing Address - Country:US
Mailing Address - Phone:732-291-1993
Mailing Address - Fax:732-291-1995
Practice Address - Street 1:1041 HIGHWAY 36, SUITE 206
Practice Address - Street 2:MILESTONE GROUP LLC
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716
Practice Address - Country:US
Practice Address - Phone:732-291-1993
Practice Address - Fax:732-291-1995
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor