Provider Demographics
NPI:1629212865
Name:MCCARREN, DEBORAH J (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:J
Last Name:MCCARREN
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 1:93 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2056
Mailing Address - Country:US
Mailing Address - Phone:973-579-9394
Mailing Address - Fax:973-579-9392
Practice Address - Street 1:93 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2056
Practice Address - Country:US
Practice Address - Phone:973-579-9394
Practice Address - Fax:973-579-9392
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00362700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00362700OtherNEW JERSEY OFFICE OF THE ATTORNEY GENERAL