Individual provider · Type 1 NPI

Candace Kotkin-Decarvalho, LCADC

Addiction (Substance Use Disorder) Counselor · Eatontown, NJ

NPI number 1740896042 Active

Practice location

3 Corbett Way
Eatontown, NJ 07724-2283

Fax (732) 542-1948

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00318700 (NJ)

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

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About NPI 1740896042

Candace Kotkin-Decarvalho, LCADC's National Provider Identifier is 1740896042, issued on Sep 22, 2020. 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 Sep 22, 2020.