Individual
KEVIN HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW, LCADC
Contact information
Practice address
11 PATERSON AVE, MIDLAND PARK, NJ 07432-1829
(201) 497-0130
Mailing address
11 PATERSON AVE, MIDLAND PARK, NJ 07432-1829
(201) 497-0130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00364100
NJ
104100000X
Social Worker
44SL06817800
NJ
Other
Enumeration date
10/03/2022
Last updated
02/18/2024
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