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MR. MICHAEL LAVONDA COLLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 687-1788
(908) 687-0294
Mailing address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 687-1788
(908) 687-0294

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC
NJ

Other

Enumeration date
10/04/2012
Last updated
10/04/2012
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