person
Leroy Stanford JR.
Addiction (Substance Use Disorder) Counselor in Camden, New Jersey
NPI 1013395052

Leroy Stanford JR. is an Addiction (Substance Use Disorder) Counselor based in Camden, NJ and is specialized in Addiction (Substance Use Disorder). Leroy Stanford JR. practices in Camden, NJ. The NPI Number for Leroy Stanford JR. is 1013395052 and holds a License No. 37LC00215600 (New Jersey).

The current practice location address for Leroy Stanford JR. is 2600 Mount Ephraim Ave, Camden, NJ and can be reached out via phone at 856-963-7323 and via fax at 856-963-7324. You can also correspond with Leroy Stanford JR. through the mailing address at 2600 MOUNT EPHRAIM AVE, CAMDEN, NJ - 08104-3236 (mailing address contact number: 856-963-7323).

Location: 2600 Mount Ephraim Ave, Camden, NJ, 08104-3236
person
Provider Profile Details
NPI Number
1013395052
Provider Name
Leroy Stanford JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Mount Ephraim Ave, Camden, NJ, 08104-3236
Phone Number
856-963-7323
Fax Number
856-963-7324
Provider Enumeration Date
05/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 Mount Ephraim Ave
City
State
Zip
08104-3236
Phone Number
856-963-7323
Fax Number
856-963-7324
person
Provider Business Mailing Address Details
Address
2600 Mount Ephraim Ave
City
State
Zip
08104-3236
Phone Number
856-963-7323
Fax Number
856-963-7324
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00215600 (New Jersey)
Definition
Definition to come...
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