Individual
JOSHUA JOSEPH STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
704 N 4TH ST, HAMMONTON, NJ 08037-9718
(609) 892-7564
Mailing address
704 N 4TH ST, HAMMONTON, NJ 08037-9718
(609) 892-7564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37L00364900
NJ
Other
Enumeration date
05/04/2022
Last updated
02/07/2024
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