person
Gregory Wells Jr, LCADC
Addiction (Substance Use Disorder) Counselor in Ridgewood, New Jersey
NPI 1427725811

Gregory Wells Jr is an Addiction (Substance Use Disorder) Counselor based in Ridgewood, NJ and is specialized in Addiction (Substance Use Disorder). Gregory Wells Jr practices in Ridgewood, NJ and has the professional credentials of LCADC. The NPI Number for Gregory Wells Jr is 1427725811 and holds a License No. 37LC00120200 (New Jersey).

The current practice location address for Gregory Wells Jr is 61 N Maple Ave Ste 302, Ridgewood, NJ and can be reached out via phone at 201-956-9483 and via fax at 201-288-5262. You can also correspond with Gregory Wells Jr through the mailing address at 61 N MAPLE AVE STE 302, RIDGEWOOD, NJ - 07450-3232 (mailing address contact number: 201-956-9483).

Location: 61 N Maple Ave Ste 302, Ridgewood, NJ, 07450-3232
person
Provider Profile Details
NPI Number
1427725811
Provider Name
Gregory Wells Jr
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
61 N Maple Ave Ste 302, Ridgewood, NJ, 07450-3232
Phone Number
201-956-9483
Fax Number
201-288-5262
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37LC00120200 01 NJ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
61 N Maple Ave Ste 302
City
State
Zip
07450-3232
Phone Number
201-956-9483
Fax Number
201-288-5262
person
Provider Business Mailing Address Details
Address
61 N Maple Ave Ste 302
City
State
Zip
07450-3232
Phone Number
201-956-9483
Fax Number
201-288-5262
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00120200 (New Jersey)
Definition
Definition to come...
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