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Mr. Gary A Dock SR., LCADC
Addiction (Substance Use Disorder) Counselor in Lawnside, New Jersey
NPI 1508034455

Gary A Dock SR. is an Addiction (Substance Use Disorder) Counselor based in Lawnside, NJ and is specialized in Addiction (Substance Use Disorder). Gary A Dock SR. practices in Lawnside, NJ and has the professional credentials of LCADC. The NPI Number for Gary A Dock SR. is 1508034455 and holds a License No. 37LC000761000 (New Jersey).

The current practice location address for Gary A Dock SR. is 190 W Oak Ave Apt A, Lawnside, NJ and can be reached out via phone at 862-324-4375.

Location: 190 W Oak Ave Apt A, Lawnside, NJ, 08045-1215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508034455
Provider Name
Gary A Dock SR.
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
190 W Oak Ave Apt A, Lawnside, NJ, 08045-1215
Phone Number
862-324-4375
Fax Number
Provider Enumeration Date
02/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
190 W Oak Ave Apt A
City
Lawnside
State
New Jersey
Zip
08045
Phone Number
862-324-4375
Fax Number
person
Provider Business Mailing Address Details
Address
190 W Oak Ave Apt A
City
Lawnside
State
New Jersey
Zip
08045
Phone Number
862-324-4375
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.
37LC000761000 (New Jersey)
Definition
Definition to come...
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