Individual
MR. COLE H VAN DE WATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 265-8200
(201) 265-0366
Mailing address
7 MAY CT, RAMSEY, NJ 07446-2432
(201) 327-9539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00026000
NJ
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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