Individual
MR. MOSES MYERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCADC,SAP
Contact information
Practice address
2130 MILLBURN AVE, SUITE D1, MAPLEWOOD, NJ 07040-3725
(908) 875-5123
(973) 763-8243
Mailing address
612 THOMPSON AVE, ROSELLE, NJ 07203-2209
(908) 875-5123
(973) 763-8243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00083500
NJ
Other
Enumeration date
11/02/2006
Last updated
04/23/2010
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