Individual
MR. MARK HODKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCADC
Contact information
Practice address
2 CHERYLE WAY, ANNANDALE, NJ 08801
(908) 578-4390
Mailing address
2 CHERYLE WAY, ANNANDALE, NJ 08801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCADC37LC00153600
NJ
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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