Individual
MR. RICHARD BARAKA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 EVERGREEN RD APT 19B, APT # 19B, EDISON, NJ 08837-2479
(973) 647-2622
Mailing address
172 EVERGREEN RD, APT # 19B, EDISON, NJ 08837-2445
(973) 698-2364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00148200
NJ
Other
Enumeration date
02/04/2017
Last updated
02/04/2017
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