Provider Demographics
NPI:1144536517
Name:CREARY, HAROLD (MA, LPC)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:
Last Name:CREARY
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MILLBURN AVE.
Mailing Address - Street 2:SUITE 7, 2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081
Mailing Address - Country:US
Mailing Address - Phone:201-463-2261
Mailing Address - Fax:973-328-1859
Practice Address - Street 1:28 MILLBURN AVE.
Practice Address - Street 2:SUITE 7, 2ND FLOOR
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081
Practice Address - Country:US
Practice Address - Phone:201-463-2261
Practice Address - Fax:973-328-1859
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00299500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional