institution
Intervention Specialist
Addiction (Substance Use Disorder) Counselor in Elizabeth, New Jersey
NPI 1043725161

Intervention Specialist is an Addiction (Substance Use Disorder) Counselor based in West Orange, NJ and is specialized in Addiction (Substance Use Disorder). Intervention Specialist practices in Elizabeth, NJ. The NPI Number for Intervention Specialist is 1043725161 and holds a License No. (New Jersey).

The current practice location address for Intervention Specialist is 583 Cherry St, Elizabeth, NJ and can be reached out via phone at 973-953-8896 and via fax at 973-953-8896. You can also correspond with Intervention Specialist through the mailing address at PO BOX 6063, WEST ORANGE, NJ - 07052-9063 (mailing address contact number: 973-953-8896).

Location: 583 Cherry St, Elizabeth, NJ, 07052-9063
institution
Provider Profile Details
NPI Number
1043725161
Provider Name
Intervention Specialist
Credential
Provider Entity Type
Organization
Address
583 Cherry St, Elizabeth, NJ, 07052-9063
Phone Number
973-953-8896
Fax Number
973-953-8896
Provider Enumeration Date
12/12/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0501433 01 NJ SAI
institution
Provider Business Practice Location Address Details
Address
583 Cherry St
City
State
Zip
07208-1754
Phone Number
973-953-8896
Fax Number
973-953-8896
person
Provider Business Mailing Address Details
Address
583 Cherry St
City
State
Zip
07208-1754
Phone Number
973-953-8896
Fax Number
973-953-8896
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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