| Dana Risteska Llc | |
|
101 Mountain Ct Ste 101b Hackettstown NJ 07840-2300 | |
| (908) 674-5407 | |
| Not Available |
| Full Name | Dana Risteska Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 Mountain Ct Ste 101b, Hackettstown, New Jersey |
| Authorized Official Name and Position | Dana Risteska (OWNER/LEAD CLINICIAN) |
| Authorized Official Contact | 9086745407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Risteska Llc Po Box 75 Suite 101b Hope NJ 07844 Ph: (908) 674-5407 | Dana Risteska Llc 101 Mountain Ct Ste 101b Hackettstown NJ 07840-2300 Ph: (908) 674-5407 |
| NPI Number | 1174050256 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 05/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174050256 | NPI | - | NPPES |
| 1902209000 | Other | NJ | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05645300 (New Jersey) | Primary |
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