Provider Demographics
NPI:1629253703
Name:ROE, MARGARET (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:ROE
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MOUNTAIN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3123
Mailing Address - Country:US
Mailing Address - Phone:908-876-8732
Mailing Address - Fax:908-876-8732
Practice Address - Street 1:31 FAIRMOUNT AVE
Practice Address - Street 2:SUITE #107
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2668
Practice Address - Country:US
Practice Address - Phone:908-876-8732
Practice Address - Fax:908-876-8732
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00314900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional