Provider Demographics
NPI:1306986179
Name:PICARO, ANTHONY (LPC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:PICARO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2725
Mailing Address - Country:US
Mailing Address - Phone:908-232-7749
Mailing Address - Fax:908-654-6645
Practice Address - Street 1:261 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3133
Practice Address - Country:US
Practice Address - Phone:908-654-6500
Practice Address - Fax:908-654-6645
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2138101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional