Provider Demographics
NPI:1902616345
Name:STECKLER, TAMARA (LAMFT)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:STECKLER
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BOYDEN AVE APT 367
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2685
Mailing Address - Country:US
Mailing Address - Phone:973-415-4233
Mailing Address - Fax:
Practice Address - Street 1:200 BOYDEN AVE APT 367
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2685
Practice Address - Country:US
Practice Address - Phone:973-415-4233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00050800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health