Individual
CONNOR THOMAS HAMMALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 ORCHARD ST, CLIFTON, NJ 07013-1832
(973) 773-7600
Mailing address
218 PASCACK RD, WOODCLIFF LAKE, NJ 07677-7948
(201) 661-0052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00863300
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
2024-000326
NJ
Other
Enumeration date
09/09/2024
Last updated
04/09/2025
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