Individual
DANIEL J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW LCADC
Contact information
Practice address
52 PARK AVE, PARK RIDGE, NJ 07656-1277
(201) 822-1877
Mailing address
16 FOREST AVE, MONTVALE, NJ 07645-2205
(201) 746-0120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00138400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05348800
NJ
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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