Individual
DANA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC, NCC, ADCI
Contact information
Practice address
17 DELSEA DR S, GLASSBORO, NJ 08028-2620
(856) 881-5511
Mailing address
594 BENSON ST, CAMDEN, NJ 08103-1324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37AC00651700
NJ
101YM0800X
Mental Health Counselor
37AC00651700
NJ
Other
Enumeration date
04/25/2023
Last updated
05/01/2023
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