Organization · Type 2 NPI
Intervention Specialist
Addiction (Substance Use Disorder) Counselor · Elizabeth, NJ
NPI number
1043725161
Active
Practice location
583 Cherry St
Elizabeth, NJ 07208-1754
Fax (973) 953-8896
Mailing address
PO Box 6063
West Orange, NJ 07052-9063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1043725161
Intervention Specialist's National Provider Identifier is 1043725161, issued on Dec 12, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elizabeth, NJ. The record was last updated on Dec 12, 2017.