Individual
MR. EVENS LUTHER COLLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1869
(856) 418-6721
(856) 818-9740
Mailing address
8 BOX TURTLE LN, SICKLERVILLE, NJ 08081-5681
(856) 418-6721
(856) 818-9740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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