Individual
MR. ANTHONY BISTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW, LCADC
Contact information
Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(844) 422-3632
Mailing address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(844) 422-3632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00360700
NJ
104100000X
Social Worker
Primary
44SL06338100
NJ
Other
Enumeration date
04/30/2014
Last updated
04/23/2025
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