Provider Demographics
NPI:1669071205
Name:MILSTED, EILEEN A (LPC, MA, LAC, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:A
Last Name:MILSTED
Suffix:
Gender:F
Credentials:LPC, MA, LAC, ATR-BC
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:
Other - Last Name:STAMATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:411 READING AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1053
Mailing Address - Country:US
Mailing Address - Phone:609-230-6603
Mailing Address - Fax:
Practice Address - Street 1:32 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-2455
Practice Address - Country:US
Practice Address - Phone:856-617-4544
Practice Address - Fax:844-689-8881
Is Sole Proprietor?:No
Enumeration Date:2020-10-24
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01030100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor