Individual provider · Type 1 NPI
Kelvin Lynn Beatty, LCADC
Addiction (Substance Use Disorder) Counselor · Clifton, NJ
NPI number
1902477508
Active
Practice location
777 Bloomfield Ave
Clifton, NJ 07012-1242
Mailing address
291 Prospect Ave
West Orange, NJ 07052-4205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00328300 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902477508
Kelvin Lynn Beatty, LCADC's National Provider Identifier is 1902477508, issued on Jul 5, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clifton, NJ. The record was last updated on Jul 5, 2021.