Individual provider · Type 1 NPI

Stacy Lynn Dutka

Addiction (Substance Use Disorder) Counselor · Boonton, NJ

NPI number 1295903375 Active

Practice location

130 Powerville Rd
Boonton, NJ 07005-8705

Mailing address

75 Stryker Ct
Bridgewater, NJ 08807-1671

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1295903375

Stacy Lynn Dutka's National Provider Identifier is 1295903375, issued on Feb 12, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boonton, NJ. The record was last updated on Jun 4, 2010.