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Individual
MR. DANNIS SHELLY BILLUPS JR.
Active
Individual
MR. DANNIS SHELLY BILLUPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00125700
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
37CA00125700
NJ
Other
Enumeration date
06/10/2015
Last updated
01/10/2023
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