Individual
GILLIAN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, CADC
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 693-8448
Mailing address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 693-8448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AC-GTL-20-01543
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00156700
NJ
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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