Individual
NICHOLAS A CIACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
55 LEONARDVILLE RD, BELFORD, NJ 07718
(732) 233-4465
Mailing address
55 LEONARDVILLE RD, BELFORD, NJ 07718-1042
(732) 233-4465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00280700
NJ
Other
Enumeration date
04/17/2018
Last updated
11/27/2018
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