Individual provider · Type 1 NPI
Elaine Peguero, LCADC
Addiction (Substance Use Disorder) Counselor · Hackensack, NJ
NPI number
1124640677
Active
Practice location
795 Main St
Hackensack, NJ 07601-4812
Fax (201) 488-5162
Mailing address
271 Boulevard
New Milford, NJ 07646-1707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00314900 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1124640677
Elaine Peguero, LCADC's National Provider Identifier is 1124640677, issued on May 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hackensack, NJ. The record was last updated on May 7, 2020.