Provider Demographics
NPI:1528317245
Name:WEINER, CINDY (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
Last Name:WEINER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 E NORTHFIELD RD STE D-1R
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4231
Mailing Address - Country:US
Mailing Address - Phone:862-245-1994
Mailing Address - Fax:
Practice Address - Street 1:65 E NORTHFIELD RD STE D-1R
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4231
Practice Address - Country:US
Practice Address - Phone:862-245-1994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00445800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional