Organization
GRATEFUL THERAPY
Active
Other names
Daniel Struble, LCSW, LCADC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRUBLE LCSW, LCADC (PRESIDENT)
(732) 335-1675
Entity
Organization
Contact information
Practice address
32 VILLAGE CT, HAZLET, NJ 07730-1533
(732) 335-1675
(732) 335-1151
Mailing address
32 VILLAGE CT, HAZLET, NJ 07730-1533
(732) 335-1675
(732) 335-1151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232764
—
NJ
Enumeration date
05/27/2021
Last updated
06/03/2021
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