Individual
MR. ROBERT A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
450 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07304-4218
(201) 200-1965
(201) 200-1826
Mailing address
75 PROSPECT ST, EAST ORANGE, NJ 07017-1922
(973) 207-9690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00122100
NJ
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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