Healthcare Provider Details

I. General information

NPI: 1306986179
Provider Name (Legal Business Name): ANTHONY PICARO LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 ORCHARD ST
WESTFIELD NJ
07090-3133
US

IV. Provider business mailing address

1205 BOULEVARD
WESTFIELD NJ
07090-2725
US

V. Phone/Fax

Practice location:
  • Phone: 908-654-6500
  • Fax: 908-654-6645
Mailing address:
  • Phone: 908-232-7749
  • Fax: 908-654-6645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2138
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: