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Mr. Richard Baraka III
Addiction (Substance Use Disorder) Counselor in Edison, New Jersey
NPI 1164960613

Richard Baraka III is an Addiction (Substance Use Disorder) Counselor based in Edison, NJ and is specialized in Addiction (Substance Use Disorder). Richard Baraka III practices in Edison, NJ. The NPI Number for Richard Baraka III is 1164960613 and holds a License No. 37LC00148200 (New Jersey).

The current practice location address for Richard Baraka III is 172 Evergreen Rd Apt 19B, Edison, NJ and can be reached out via phone at 973-647-2622.

Location: 172 Evergreen Rd Apt 19B, Edison, NJ, 08837-2445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164960613
Provider Name
Richard Baraka III
Credential
Provider Entity Type
Individual
Gender
Male
Address
172 Evergreen Rd Apt 19B, Edison, NJ, 08837-2445
Phone Number
973-647-2622
Fax Number
Provider Enumeration Date
02/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
172 Evergreen Rd Apt 19B
City
Edison
State
New Jersey
Zip
08837-2479
Phone Number
973-647-2622
Fax Number
person
Provider Business Mailing Address Details
Address
172 Evergreen Rd Apt 19B
City
Edison
State
New Jersey
Zip
08837-2479
Phone Number
973-647-2622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
37LC00148200 (New Jersey)
Definition
Definition to come...
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