Individual
BANDELE ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
522 BRICK BLVD, BRICK, NJ 08723-6089
(973) 432-0427
Mailing address
631M MADISON DR, MONROE TOWNSHIP, NJ 08831-5243
(973) 432-0427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00491900
NJ
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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