Provider Demographics
NPI:1407318785
Name:MAZZARESE, LAUREN (LPC)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:MAZZARESE
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 RT 22 STE 2
Mailing Address - Street 2:#1112
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081
Mailing Address - Country:US
Mailing Address - Phone:908-456-9130
Mailing Address - Fax:
Practice Address - Street 1:55B SANDRA CIR APT B3
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1173
Practice Address - Country:US
Practice Address - Phone:908-456-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00574300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health