Individual
MR. JOHN JOSEPH BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC
Contact information
Practice address
74 E 2ND ST, 2ND FLOOR, MOORESTOWN, NJ 08057-3318
(856) 304-2469
(856) 608-1809
Mailing address
PO BOX 823, MOORESTOWN, NJ 08057-0823
(856) 304-2469
(856) 608-1809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00087900
NJ
101YP2500X
Professional Counselor
37PC00038600
NJ
Other
Enumeration date
01/04/2007
Last updated
09/04/2007
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