Provider Demographics
NPI:1174712129
Name:ZAMBITO, MARY (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:ZAMBITO
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LYONS MALL # 110
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1928
Mailing Address - Country:US
Mailing Address - Phone:908-766-6208
Mailing Address - Fax:
Practice Address - Street 1:27 RTE. 202
Practice Address - Street 2:SUITE 8
Practice Address - City:FAR HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07931
Practice Address - Country:US
Practice Address - Phone:908-766-6208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00150600101YA0400X
NJ37PC00324300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)