Provider Demographics
NPI:1922318187
Name:UNGARO, PATRICIA HAGEMAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:HAGEMAN
Last Name:UNGARO
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 1:74 ADDISON AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2326
Mailing Address - Country:US
Mailing Address - Phone:201-370-7994
Mailing Address - Fax:201-804-2722
Practice Address - Street 1:15 UNION AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1273
Practice Address - Country:US
Practice Address - Phone:201-370-7994
Practice Address - Fax:201-804-2722
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00042600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional