Individual provider · Type 1 NPI

Philadelphia Jeane Prokop, LCSW/LCADC

Addiction (Substance Use Disorder) Counselor · Lyndhurst, NJ

NPI number 1255591129 Active

About NPI 1255591129

Philadelphia Jeane Prokop, LCSW/LCADC's National Provider Identifier is 1255591129, issued on Jun 13, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lyndhurst, NJ. The record was last updated on Jun 13, 2008.