Individual
MR. MIGUEL OQUENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCADC
Contact information
Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 569-6667
Mailing address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00158000
NJ
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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