Individual provider · Type 1 NPI
Jonathan Kirkland Blauvelt, MA, LCADC
Addiction (Substance Use Disorder) Counselor · Holmdel, NJ
NPI number
1679998918
Active
Practice location
2139 Hwy 35 Ste 120
Holmdel, NJ 07733-1094
Mailing address
1417 Brace Rd Ste C
Cherry Hill, NJ 08034-3524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00306900 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Holmdel
About NPI 1679998918
Jonathan Kirkland Blauvelt, MA, LCADC's National Provider Identifier is 1679998918, issued on Feb 24, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Holmdel, NJ. The record was last updated on Jun 21, 2022.