Individual provider · Type 1 NPI

Anne Catherine Portine- Kudlac, MA, RDT, LCADC, DRCC

Addiction (Substance Use Disorder) Counselor · Butler, NJ

NPI number 1811244981 Active

Practice location

19 Excelsior Pl
Butler, NJ 07405-1511

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2035 (NJ)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00121500 (NJ)
Recreation Therapist 225800000X239

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

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About NPI 1811244981

Anne Catherine Portine- Kudlac, MA, RDT, LCADC, DRCC's National Provider Identifier is 1811244981, issued on Aug 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Butler, NJ. The record was last updated on Aug 8, 2012.