Individual
KEITH COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC, CCFC
Contact information
Practice address
21-29 WAGNER PLACE, IRVINGTON, NJ 07111-1861
(973) 399-3132
(973) 399-7552
Mailing address
21-29 WAGNER PLACE, IRVINGTON, NJ 07111-1861
(973) 399-3132
(973) 399-7552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
F18736
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00011300
NJ
104100000X
Social Worker
44SW00619000
NJ
Other
Enumeration date
10/27/2006
Last updated
09/11/2025
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