Individual
MR. MUSTAFA SHAKIR ABDUS-SALAAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS-C, LCADC, LPC
Contact information
Practice address
19 ORANGE PL, IRVINGTON, NJ 07111-2019
(973) 474-8441
Mailing address
19 ORANGE PL, IRVINGTON, NJ 07111-2019
(973) 474-8441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00245300
NJ
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/18/2018
Last updated
07/27/2019
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