Active NPIIndividual provider

Doris M Vallejo, LAC, LCADC

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

NPI Number1649805375
Practice location
206 Bergen Ave, Kearny, NJ 07032-3384
Fax
—
Last updated
March 3, 2020

Doris M Vallejo is a Counselor, Addiction (Substance Use Disorder) based in Kearny, NJ. Doris M Vallejo practices in Kearny, NJ and has the professional credentials of LAC, LCADC. The NPI Number for Doris M Vallejo is 1649805375. The current practice location address for Doris M Vallejo is 206 Bergen Ave, Kearny, NJ 07032-3384 and can be reached out via phone at 732-210-0509.

Provider Profile Details

NPI Number
1649805375
Provider Name
Doris M Vallejo
Credential
LAC, LCADC
Provider Entity Type
Individual
Gender
Female
Address
206 Bergen Ave, Kearny, NJ 07032-3384
Phone Number
732-210-0509
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
March 3, 2020
Last Update Date
March 3, 2020
Certification Date
March 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
206 Bergen Ave
Kearny, NJ 07032-3384
City
Kearny
Zip
07032-3384
Phone Number
732-210-0509
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
206 Bergen Ave
Kearny, NJ 07032-3384
City
Kearny
State
NJ
Zip
07032-3384

License Information

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 Doris M Vallejo, LAC, LCADC?

The NPI number of Doris M Vallejo, LAC, LCADC is 1649805375. It was assigned on March 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Doris M Vallejo, LAC, LCADC?

Doris M Vallejo, LAC, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Doris M Vallejo, LAC, LCADC practice?

The practice location is 206 Bergen Ave, Kearny, NJ 07032-3384. The office can be reached at 732-210-0509 (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 1649805375 directly on the NPPES registry website.

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