Individual
MR. DANNIS SHELLY BILLUPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
705 SUMMERFIELD AVE, ASBURY PARK, NJ 07712-6921
(848) 469-6639
(723) 897-7701
Mailing address
3805 ROUTE 33, 2, NEPTUNE, NJ 07753-3260
(848) 469-6639
(723) 897-7701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00125700
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
37CA00125700
NJ
Other
Enumeration date
06/10/2015
Last updated
01/10/2023
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