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Mrs. Audrey Anderson, LACLCADC
Addiction (Substance Use Disorder) Counselor in Newark, New Jersey
NPI 1760173264

Audrey Anderson is an Addiction (Substance Use Disorder) Counselor based in Newark, NJ and is specialized in Addiction (Substance Use Disorder). Audrey Anderson practices in Newark, NJ and has the professional credentials of LACLCADC. The NPI Number for Audrey Anderson is 1760173264 and holds a License No. 37AC00551600 (New Jersey).

The current practice location address for Audrey Anderson is 47 Miller Street 2Nd Floor, Newark, NJ and can be reached out via phone at 973-596-4190 and via fax at 973-639-6583.

Location: 47 Miller Street 2Nd Floor, Newark, NJ, 07107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760173264
Provider Name
Audrey Anderson
Credential
LACLCADC
Provider Entity Type
Individual
Gender
Female
Address
47 Miller Street 2Nd Floor, Newark, NJ, 07107
Phone Number
973-596-4190
Fax Number
973-639-6583
Provider Enumeration Date
05/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
47 Miller Street 2Nd Floor
City
Newark
State
New Jersey
Zip
07114-1750
Phone Number
973-596-4190
Fax Number
973-639-6583
person
Provider Business Mailing Address Details
Address
47 Miller Street 2Nd Floor
City
Newark
State
New Jersey
Zip
07114-1750
Phone Number
973-596-4190
Fax Number
973-639-6583
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
37LC00334900 (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
37AC00551600 (New Jersey)
Definition
Definition to come...
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