Individual
JAMES DOUGLAS DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LCADC, CEAP
Contact information
Practice address
110 MARTER AVE. STE 406, MOORESTOWN, NJ 08057
(856) 427-7775
Mailing address
20 NURSERY CT, GLASSBORO, NJ 08028
(856) 256-8935
(856) 256-8936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37LC00073500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103843
CBH
MN
Enumeration date
05/03/2007
Last updated
07/08/2007
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