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Individual

MARK STEMMERMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCADC

Contact information

Practice address
PREFERRED BEHAVIORAL HEALTH, 700 AIRPORT ROAD, LAKEWOOD, NJ 08701
(732) 367-4700
(732) 364-2253
Mailing address
478 PIEL AVE, BRICK, NJ 08723-5332
(732) 262-1615

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00032900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0029807
NJ
Enumeration date
05/17/2007
Last updated
07/09/2007
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