Individual
JONATHAN FAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 STATE ROUTE 35, CLIFFWOOD, NJ 07721-1512
(732) 727-2555
(732) 566-1937
Mailing address
408 WOODY RD, FREEHOLD, NJ 07728-5209
(732) 865-3701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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