Provider Demographics
NPI:1912422502
Name:NESECONTI, CONCETTA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CONCETTA
Middle Name:
Last Name:NESECONTI
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 1:144 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-2065
Mailing Address - Country:US
Mailing Address - Phone:201-315-5776
Mailing Address - Fax:
Practice Address - Street 1:216 NORTH AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2473
Practice Address - Country:US
Practice Address - Phone:908-272-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2017-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health