Provider Demographics
NPI:1336285733
Name:ADESSO, WILLIAM ANTHONY (MA LPC BCB)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:ADESSO
Suffix:
Gender:M
Credentials:MA LPC BCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 FISCHER BLVD # 104
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3841
Mailing Address - Country:US
Mailing Address - Phone:973-680-8388
Mailing Address - Fax:973-680-8803
Practice Address - Street 1:1001 FISCHER BLVD # 104
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3841
Practice Address - Country:US
Practice Address - Phone:973-680-8388
Practice Address - Fax:973-680-8803
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003217101Y00000X
NJ37PC00285400101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor