Individual provider · Type 1 NPI
John Conneely, LCADC
Addiction (Substance Use Disorder) Counselor · Lakewood, NJ
NPI number
1245378363
Active
Practice location
Preferred Behavioral Health Of Nj, 700 Airport Road
Lakewood, NJ 08701
Fax (732) 364-2253
Mailing address
1519 Valley Dr
Wall Township, NJ 07719-3929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00030300 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1245378363
John Conneely, LCADC's National Provider Identifier is 1245378363, issued on Feb 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, NJ. The record was last updated on Jul 9, 2007.