Provider Demographics
NPI:1659436848
Name:AGENS, MAUREEN (LPC; LCADC; ACS)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:AGENS
Suffix:
Gender:F
Credentials:LPC; LCADC; ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 ROUTE 46
Mailing Address - Street 2:WATERVIEW PLAZA SUITE 310
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1385
Mailing Address - Country:US
Mailing Address - Phone:862-781-0477
Mailing Address - Fax:888-908-4191
Practice Address - Street 1:2001 ROUTE 46
Practice Address - Street 2:WATERVIEW PLAZA SUITE 310
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1385
Practice Address - Country:US
Practice Address - Phone:862-781-0477
Practice Address - Fax:888-908-4191
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00341400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional