Individual
JODI F CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
41 SENECA AVE, DUMONT, NJ 07628-2728
(201) 384-5115
(201) 384-6177
Mailing address
41 SENECA AVE, DUMONT, NJ 07628-2728
(201) 384-5115
(201) 384-6177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00136400
NJ
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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