Provider Demographics
NPI:1912596925
Name:FERRARI, AMANDA ALVES (LAC, CRC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:ALVES
Last Name:FERRARI
Suffix:
Gender:F
Credentials:LAC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-1982
Mailing Address - Country:US
Mailing Address - Phone:732-678-3171
Mailing Address - Fax:
Practice Address - Street 1:371 MORRIS AVE FL 2
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3616
Practice Address - Country:US
Practice Address - Phone:908-737-0921
Practice Address - Fax:908-248-0760
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00548500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional