Individual
GRACE JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 STULTS RD STE 137, DAYTON, NJ 08810-1549
(732) 908-2111
Mailing address
2 LESHNER LN, BURLINGTON, NJ 08016-3843
(609) 508-0402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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