Individual
MR. TIMOTHY JOSEPH SLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
105 HAMBURG TURNPIKE, POMPTON LAKES, NJ 07442
(973) 831-0613
(973) 831-0957
Mailing address
21 EVANS PL, POMPTON PLAINS, NJ 07444
(973) 839-2520
(973) 616-0447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00142300
NJ
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/23/2008
Last updated
12/15/2010
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