Individual provider · Type 1 NPI
Dave Bencivengo, LCADC
Addiction (Substance Use Disorder) Counselor · Cranford, NJ
NPI number
1124303680
Active
Practice location
300 North Ave E
Cranford, NJ 07016-2435
Fax (908) 931-0304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00047100 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124303680
Dave Bencivengo, LCADC's National Provider Identifier is 1124303680, issued on Oct 17, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cranford, NJ. The record was last updated on Oct 17, 2011.