Provider Demographics
NPI:1669581245
Name:CELLA-RESESKA, RITA T (LCSW, LCADC, DVS)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:T
Last Name:CELLA-RESESKA
Suffix:
Gender:F
Credentials:LCSW, LCADC, DVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 BROADWAY STE 2
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8079
Mailing Address - Country:US
Mailing Address - Phone:201-391-4492
Mailing Address - Fax:
Practice Address - Street 1:LAKESIDE COUNSELING CENTER- RITA C. RESESKA
Practice Address - Street 2:136 BROADWAY # 2
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8079
Practice Address - Country:US
Practice Address - Phone:201-391-4492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001575001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical