MEDICARE: MS. LEE ANN CIANCI-MORRIS LPC, LCADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00075100	NJ
2	101YP2500X	Professional Counselor	37PC00369200	NJ

General Provider Information

NPI Number	:	1598855603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEE ANN CIANCI-MORRIS LPC, LCADC

Provider Business Mailing Address
First Line	:	100 ENTERPRISE DR STE 301
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2129
Country	:	US
Telephone Number	:	862-781-6141
Fax Number	:	862-781-6147

Provider Business Practice Location Address
First Line	:	100 ENTERPRISE DR STE 301
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2129
Country	:	US
Telephone Number	:	862-781-6141
Fax Number	:	862-781-6147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/24/2019

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