Provider Demographics
NPI:1023410883
Name:SABATINO, STACIE ANN (MA, LCADC)
Entity type:Individual
Prefix:MRS
First Name:STACIE
Middle Name:ANN
Last Name:SABATINO
Suffix:
Gender:F
Credentials:MA, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 OLD BRIDGE TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2349
Mailing Address - Country:US
Mailing Address - Phone:732-794-3629
Mailing Address - Fax:
Practice Address - Street 1:367 OLD BRIDGE TPKE
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2349
Practice Address - Country:US
Practice Address - Phone:732-794-3629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00153800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)