Individual
MR. WILLIAM L. MICCHELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 GARFIELD AVE, KEARNY, NJ 07032-3432
(201) 388-6262
Mailing address
44 GARFIELD AVE, KEARNY, NJ 07032-3432
(201) 388-6262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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