Individual provider · Type 1 NPI
Andrea Medeiros, MSW, LCSW, LCADC
Addiction (Substance Use Disorder) Counselor · Lakewood, NJ
NPI number
1841633013
Active
Practice location
700 Airport Rd
Lakewood, NJ 08701
Mailing address
1113 Old Freehold Rd
Toms River, NJ 08753-5205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 44SL05865300 (NJ) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00197400 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1841633013
Andrea Medeiros, MSW, LCSW, LCADC's National Provider Identifier is 1841633013, issued on Apr 8, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, NJ. The record was last updated on Jun 21, 2018.