Provider Demographics
NPI:1972004208
Name:HABIB, MARYANN (LPC)
Entity type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:HABIB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CRAIG RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8748
Mailing Address - Country:US
Mailing Address - Phone:732-759-4927
Mailing Address - Fax:
Practice Address - Street 1:500 CRAIG RD STE 102
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8748
Practice Address - Country:US
Practice Address - Phone:732-759-4927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37AC00405800OtherSTATE LICENSE