Provider Demographics
NPI:1972256139
Name:SEIFERT, LAUREN N (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:N
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:N
Other - Last Name:ILLGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:735 LAWLINS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2502
Mailing Address - Country:US
Mailing Address - Phone:201-693-7212
Mailing Address - Fax:
Practice Address - Street 1:121 HOWE AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4013
Practice Address - Country:US
Practice Address - Phone:973-777-2962
Practice Address - Fax:973-777-2962
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-28
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00344300101YA0400X
NJ37PC00736700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)