Individual
OMAR SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LCADC LAC CTTS
Contact information
Practice address
1157 MAIN AVE, CLIFTON, NJ 07011-2243
(973) 341-9869
Mailing address
1157 MAIN AVE, CLIFTON, NJ 07011-2243
(973) 341-9869
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00157400
NJ
101YM0800X
Mental Health Counselor
37AC00424500
NJ
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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