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Individual

GREGORY LAMONT HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCADC

Contact information

Practice address
595 COUNTY AVE BLDG 7, SECAUCUS, NJ 07094-2605
(973) 623-0600
Mailing address
377 S HARRISON ST APT 15FF, EAST ORANGE, NJ 07018-1227

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00256700
NJ
104100000X
Social Worker
Primary
44SL06794600
NJ

Other

Enumeration date
12/18/2024
Last updated
12/18/2024
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