Provider Demographics
NPI:1861902587
Name:WARD, CARMEN CASSANDRA (LPC, ACS, NCC,CCSOTS)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:CASSANDRA
Last Name:WARD
Suffix:
Gender:F
Credentials:LPC, ACS, NCC,CCSOTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-3131
Mailing Address - Country:US
Mailing Address - Phone:973-787-7741
Mailing Address - Fax:908-822-2486
Practice Address - Street 1:402 WILLOW CT
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-3131
Practice Address - Country:US
Practice Address - Phone:973-787-7741
Practice Address - Fax:908-822-2486
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-08
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00586400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional