Individual provider · Type 1 NPI
Lyndon Stafford Gunning, B.A. CADC
Addiction (Substance Use Disorder) Counselor · Clark, NJ
NPI number
1760115810
Active
Practice location
60 Walnut Ave Ste 200
Clark, NJ 07066-1647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37CA00124300 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760115810
Lyndon Stafford Gunning, B.A. CADC's National Provider Identifier is 1760115810, issued on Jul 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clark, NJ. The record was last updated on Jul 6, 2022.