Individual
MR. GARCIA OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC,CCS
Contact information
Practice address
850 WOODRUFF LN, ELIZABETH, NJ 07201-2022
(908) 352-0850
(908) 352-1036
Mailing address
850 WOODRUFF LANE, ELIZABETH, NJ 07201
(908) 352-0850
(908) 352-1036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00227700
NJ
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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