Individual provider · Type 1 NPI

Jacqueline C. Porter-Stewart, LCADC, LCSW, SAP

Addiction (Substance Use Disorder) Counselor · Princeton, NJ

NPI number 1912169103 Active

Practice location

20 Nassau St, Suite 204
Princeton, NJ 08542-4509

Fax (609) 454-3078

Mailing address

Supplanter Counseling & Mediation, Llc, 1330 Parkway Avenue, Ste. 12
Ewing, NJ 08628-4509

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X44SC05534200 (NJ)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00133600 (NJ)

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

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About NPI 1912169103

Jacqueline C. Porter-Stewart, LCADC, LCSW, SAP's National Provider Identifier is 1912169103, issued on Jun 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Princeton, NJ. The record was last updated on Apr 30, 2020.