Most Relevant Information
Provider Data
| NPI Number: | 1003482076 |
| Provider Name: | DIANE HADDAD LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 37AC00581400 |
Most Important Dates
| Enumeration Date: | 06/01/2021 |
| Last Updated: | 06/01/2021 |
Provider Practice Location
80 CONOVER RD
MARLBORO
NJ
077461003
Practice Location Phone/Fax
| Phone: | 7329463030 |
| Fax: |
Provider Mailing Location
33 TREVOR PL
MATAWAN
NJ
077479702
Provider Mailing Phone/Fax
| Phone: | 9084616931 |
| Fax: |