Licari, Andrea

Licari, Andrea is an sole proprietor health care provider with primary practice located at 1500 Route 88 W , Brick NJ 08724-2320. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Licari, Andrea can be contacted via phone (732) 785-1900.

Contact Information

Primary practice address
1500 Route 88 W Brick NJ 08724-2320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37AC00253600 New Jersey

Profile Details

NPI number 1518332600
LBN Legal business name Licari, Andrea
Credentials M.A. N.C.C L.A.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2015
Last updated Dec 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518332600 NPPES
New Jersey MEDICAID 0029807

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