Individual provider · Type 1 NPI

Doris M. Vallejo, LAC, LCADC

Addiction (Substance Use Disorder) Counselor · Kearny, NJ

NPI number 1649805375 Active

Practice location

206 Bergen Ave
Kearny, NJ 07032-3384

Call (732) 210-0509 Map

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 1649805375

Doris M. Vallejo, LAC, LCADC's National Provider Identifier is 1649805375, issued on Mar 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kearny, NJ. The record was last updated on Mar 3, 2020.