Provider Demographics
NPI:1770681934
Name:GANZ, ESTHER H (LPC LCADC)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:H
Last Name:GANZ
Suffix:
Gender:F
Credentials:LPC LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SCENIC DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5211
Mailing Address - Country:US
Mailing Address - Phone:732-995-1246
Mailing Address - Fax:732-462-2687
Practice Address - Street 1:80 SCENIC DR
Practice Address - Street 2:SUITE 2
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5211
Practice Address - Country:US
Practice Address - Phone:732-995-1246
Practice Address - Fax:732-462-2687
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00104700101YM0800X
NJ37LC00032300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health