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Individual

DR. JERALD CILENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LCADC, ABMPP

Contact information

Practice address
1830 FRONT STREET, SCOTCH PLAINS, NJ 07076
(908) 322-9180
(908) 322-9094
Mailing address
1830 FRONT STREET, SCOTCH PLAINS, NJ 07076
(908) 322-9180
(908) 322-9094

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37LC00185000
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00185000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37LC00185000
NJ
Enumeration date
11/18/2014
Last updated
11/18/2014
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