Individual provider · Type 1 NPI

Jo Myman, LCADC

Addiction (Substance Use Disorder) Counselor · Eatontown, NJ

NPI number 1629631627 Active

Practice location

3 Corbett Way
Eatontown, NJ 07724-2283

Fax (732) 542-1948

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00286700 (NJ)

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

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About NPI 1629631627

Jo Myman, LCADC's National Provider Identifier is 1629631627, issued on Apr 16, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eatontown, NJ. The record was last updated on Apr 16, 2019.