Individual
NEIL MCDOUGALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 SOUTHARD STREET, TRENTON, NJ 08609
(609) 396-4557
(609) 396-8420
Mailing address
40 TWILIGHT LANE, WILLINGBORO, NJ 08046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00050600
NJ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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