Provider Demographics
NPI:1053036327
Name:SALADINO, THOMAS (LPC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:SALADINO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 VALLEY RD STE 9
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1833
Mailing Address - Country:US
Mailing Address - Phone:845-548-3000
Mailing Address - Fax:
Practice Address - Street 1:250 WASHINGTON ST STE A1
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7583
Practice Address - Country:US
Practice Address - Phone:848-373-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00877500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional