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Individual

MR. CLIFFORD M KOBLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCADC

Contact information

Practice address
4475 ROUTE 27, KINGSTON, NJ 08528-9601
(609) 252-1152
Mailing address
130 SPRING HILL RD, SKILLMAN, NJ 08558-1418
(609) 333-1096

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00090100
NJ
101YP2500X
Professional Counselor
Primary
37PC000336400
NJ

Other

Enumeration date
04/09/2007
Last updated
10/20/2009
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