Individual
MR. DEAN J LABOLLITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSM, LCADC, CSW, CCS
Contact information
Practice address
1466 HOOPER AVE, SUITE 1C, TOMS RIVER, NJ 08753-2892
(732) 814-1330
(732) 358-0829
Mailing address
1466 HOOPER AVE, SUITE 1C, TOMS RIVER, NJ 08753-2892
(732) 814-1330
(732) 358-0829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00077700
NJ
1041C0700X
Clinical Social Worker
44SW04739900
NJ
Other
Enumeration date
01/13/2013
Last updated
09/03/2021
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