Individual
MRS. THERESA MARCIA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAC, LCADC, C-DBT
Contact information
Practice address
97 ENGLE ST, ENGLEWOOD, NJ 07631-2904
(201) 430-7125
Mailing address
97 ENGLE ST, ENGLEWOOD, NJ 07631-2904
(201) 430-7125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00381000
NJ
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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