Provider Demographics
NPI:1679715874
Name:MERTON, VALERIE JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:MERTON
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:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:PEAPACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07977-0373
Mailing Address - Country:US
Mailing Address - Phone:908-234-9566
Mailing Address - Fax:
Practice Address - Street 1:87 MAIN STREET
Practice Address - Street 2:SUITE 301
Practice Address - City:PEPACK
Practice Address - State:NJ
Practice Address - Zip Code:07977-0373
Practice Address - Country:US
Practice Address - Phone:908-234-9566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00356000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional