Provider Demographics
NPI:1720579121
Name:KABISCH, DANA M (LPC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:KABISCH
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 1:201 STRYKERS RD STE 19-179
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-5400
Mailing Address - Country:US
Mailing Address - Phone:908-291-2131
Mailing Address - Fax:
Practice Address - Street 1:201 STRYKERS RD STE 19-179
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-5400
Practice Address - Country:US
Practice Address - Phone:908-291-2131
Practice Address - Fax:908-751-1181
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00783400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional