Healthcare Provider Details

I. General information

NPI: 1770735938
Provider Name (Legal Business Name): ERIN WERNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 NEPTUNE PL
NORTH MIDDLETOWN NJ
07748-5751
US

IV. Provider business mailing address

49 NEPTUNE PL
NORTH MIDDLETOWN NJ
07748-5751
US

V. Phone/Fax

Practice location:
  • Phone: 862-274-5666
  • Fax:
Mailing address:
  • Phone: 862-274-5666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00561000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: