Healthcare Provider Details

I. General information

NPI: 1396196663
Provider Name (Legal Business Name): DEBORAH HAMPTON LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FAMILY GUIDANCE CENTER OF WARREN COUNTY 370 MEMORIAL PARKWAY
PHILLIPSBURG NJ
08865-1580
US

IV. Provider business mailing address

FAMILY GUIDANCE CENTER OF WARREN COUNTY 492 ROUTE 57 WEST
WASHINGTON NJ
07882-4411
US

V. Phone/Fax

Practice location:
  • Phone: 908-454-4470
  • Fax: 908-454-5317
Mailing address:
  • Phone: 908-689-1000
  • Fax: 908-689-4529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number37AC00281300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: