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Organization
WAYNE MAGEE LCADC
Active
Organization
WAYNE MAGEE LCADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE MAGEE JR. LCADC (SUBSTANCE ABUSE COUNSELOR)
(856) 332-0290
Entity
Organization
Contact information
Practice address
1665 NORTH AVE, PORT NORRIS, NJ 08349
(856) 332-0290
Mailing address
35 S BURLINGTON RD, BRIDGETON, NJ 08302-2262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00205500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5312960
AETNA
NJ
Enumeration date
07/15/2014
Last updated
01/21/2015
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