Provider Demographics
NPI:1023436870
Name:CANNEDY, ERICA N (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:N
Last Name:CANNEDY
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 1:301 S LIVINGSTON AVE STE 205D
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3929
Mailing Address - Country:US
Mailing Address - Phone:201-367-1667
Mailing Address - Fax:
Practice Address - Street 1:301 S LIVINGSTON AVE STE 205D
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3929
Practice Address - Country:US
Practice Address - Phone:201-367-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-30
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00551300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional