Diane M. Licht, MA, LPC
NPI #1558432682 in Boonton, New Jersey
Provider Information
- NPI Number
- 1558432682
- Entity Type
- Individual
- Name
- Diane M. Licht, MA, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA, LPC
- Enumeration Date
- Nov 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 550 W MAIN ST
- City
- Boonton
- State
- New Jersey
- ZIP Code
- 07005-1168
- Phone
- (973) 402-9360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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