Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 37LC00033600 | NJ |
N | 101YP2500X | Professional Counselor | 37PC00002300 | NJ |
Y | 103G00000X | Clinical Psychologist | 35S100620000 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35S100620000 | NJ |
N | 225C00000X | Rehabilitation Counselor | 37RC00203200 | NJ |
NPI | 1124106430 |
---|---|
Provider Name | Clarita Hipol Ligot |
First Address | Newark, NJ 07103-2757 |
Second Address | Piscataway, NJ 08854-5627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 03/02/2020 |