SearchNew Jersey101YA0400X

Elaine Peguero, LCADC

NPI 1124640677 · on the registry since 2020 · sole proprietor

Practice

Address
795 Main St
Hackensack, NJ 07601
Phone
(201) 488-5161
Fax
(201) 488-5162
Clinicians at this address
3

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey