Individual provider · Type 1 NPI

Garcia Outlaw, LCADC, CCS

Addiction (Substance Use Disorder) Counselor · Elizabeth, NJ

NPI number 1295506277 Active

Practice location

850 Woodruff Ln
Elizabeth, NJ 07201-2022

Fax (908) 352-1036

Mailing address

850 Woodruff Lane
Elizabeth, NJ 07201

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00227700 (NJ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295506277

Garcia Outlaw, LCADC, CCS's National Provider Identifier is 1295506277, issued on Jan 10, 2024. 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 Jan 10, 2024.