Individual
MRS. DOREEN MARION TAYLOR-SPELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCADC, CSW
Contact information
Practice address
687 FRELINGHUYSEN AVE, 1ST FLOOR, NEWARK, NJ 07114-1349
(973) 799-0508
Mailing address
687 FRELINGHUYSEN AVE, 1ST FLOOR, NEWARK, NJ 07114-1349
(973) 799-0508
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00197700
NJ
104100000X
Social Worker
44SW04759900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37LC00197700
STATE OF NJ OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS LCADC
NJ
Enumeration date
02/24/2010
Last updated
05/28/2013
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