Individual
ERICK HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 MACDADE BLVD STE 205, COLLINGDALE, PA 19023-1926
(610) 522-4506
(610) 522-4508
Mailing address
1107 MANTUA PIKE STE 701-196, MANTUA, NJ 08051-1606
(856) 246-7049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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