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Glorious Ali Shabazz
Addiction (Substance Use Disorder) Counselor in Paterson, New Jersey
NPI 1851922397

Glorious Ali Shabazz is an Addiction (Substance Use Disorder) Counselor based in Paterson, NJ and is specialized in Addiction (Substance Use Disorder). Glorious Ali Shabazz practices in Paterson, NJ. The NPI Number for Glorious Ali Shabazz is 1851922397 and holds a License No. 37LC00280000 (New Jersey).

The current practice location address for Glorious Ali Shabazz is 300 E 29Th St, Paterson, NJ and can be reached out via phone at 973-930-0044.

Location: 300 E 29Th St, Paterson, NJ, 07514-1818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851922397
Provider Name
Glorious Ali Shabazz
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 E 29Th St, Paterson, NJ, 07514-1818
Phone Number
973-930-0044
Fax Number
Provider Enumeration Date
02/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 E 29Th St
City
Paterson
State
New Jersey
Zip
07514-1818
Phone Number
973-930-0044
Fax Number
person
Provider Business Mailing Address Details
Address
300 E 29Th St
City
Paterson
State
New Jersey
Zip
07514-1818
Phone Number
973-930-0044
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.
37LC00280000 (New Jersey)
Definition
Definition to come...
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