Provider Demographics
NPI:1083105043
Name:PARSON, CIERRAH N (LAC)
Entity type:Individual
Prefix:
First Name:CIERRAH
Middle Name:N
Last Name:PARSON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 HOES LN STE 106
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-4143
Mailing Address - Country:US
Mailing Address - Phone:732-982-2888
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:371 HOES LN STE 106
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-4143
Practice Address - Country:US
Practice Address - Phone:732-982-2888
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00836900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional