Susan McNally, BA, MA, LPC
Individual provider Active NPI Professional Counselor · Andover, NJ
NPI 1689250037 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1689250037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00590900 (NJ)
- Practice address
- 11 Mountainview Dr
Andover, NJ 07821-2121 - Phone
- (973) 922-3950
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00590900 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00590900 | NJ | Yes |
Addresses
Primary practice location
11 Mountainview Dr
Andover, NJ 07821-2121
Mailing address
11 Mountainview Dr
Andover, NJ 07821-2121
Phone (973) 922-3950
Other providers in Andover, NJ
- Kimberly Klimek
- Katherine Kostuk
- Katherine Matthews
- McGovern Behavioral Healthcare
- Andrew Augustus McGovern
- Daniel James Mitchell
- Melvyn Alfred Moskowitz
- Jocelyn Michelle Mull
- Andrea Elizabeth Odian
- Peace by Piece NJ, Inc
All providers in Andover, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.