Active NPIIndividual providerSole proprietor

Ajibola G Alli, LCADC, CCS, ICADC

Counselor, Addiction (Substance Use Disorder) in Maplewood, New Jersey

NPI Number1538654462
Practice location
15 Hausmann CT Fl 1, Maplewood, NJ 07040
Fax
—
Last updated
June 23, 2018

Ajibola G Alli is a Counselor, Addiction (Substance Use Disorder) based in Maplewood, NJ. Ajibola G Alli practices in Maplewood, NJ and has the professional credentials of LCADC, CCS, ICADC. The NPI Number for Ajibola G Alli is 1538654462 and holds a License No. 37LC00133900 (NJ). The current practice location address for Ajibola G Alli is 15 Hausmann CT Fl 1, Maplewood, NJ 07040 and can be reached out via phone at 973-380-9030.

Provider Profile Details

NPI Number
1538654462
Provider Name
Ajibola G Alli
Credential
LCADC, CCS, ICADC
Provider Entity Type
Individual
Gender
Female
Address
15 Hausmann CT Fl 1, Maplewood, NJ 07040
Phone Number
973-380-9030
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2018
Last Update Date
June 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Hausmann CT Fl 1
Maplewood, NJ 07040
Zip
07040
Phone Number
973-380-9030
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
15 Hausmann CT Fl 1
Maplewood, NJ 07040-3006
City
Maplewood
State
NJ
Zip
07040-3006
Phone Number
973-380-9030

License Information

License Number
37LC00133900
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ajibola G Alli, LCADC, CCS, ICADC?

The NPI number of Ajibola G Alli, LCADC, CCS, ICADC is 1538654462. It was assigned on June 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Ajibola G Alli, LCADC, CCS, ICADC?

Ajibola G Alli, LCADC, CCS, ICADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00133900.

Where does Ajibola G Alli, LCADC, CCS, ICADC practice?

The practice location is 15 Hausmann CT Fl 1, Maplewood, NJ 07040. The office can be reached at 973-380-9030 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538654462 directly on the NPPES registry website.

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