Individual
SEAN R MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 ROUTE 35, CLIFFWOOD, NJ 07721-1512
(732) 727-2555
Mailing address
96 CHESTNUT ST, KEARNY, NJ 07032-2551
(201) 920-9328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00187500
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
37CA00187500
NJ
Other
Enumeration date
07/13/2022
Last updated
04/24/2024
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