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Individual
DR. JERALD CILENTE
Active
Individual
DR. JERALD CILENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCADC, ABMPP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37LC00185000
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00185000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37LC00185000
—
NJ
Enumeration date
11/18/2014
Last updated
11/18/2014
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