Individual
MRS. TAMMY NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS IN SCIENCE
Contact information
Practice address
935 ALLWOOD RD STE 300, CLIFTON, NJ 07012-1988
(862) 930-5700
(973) 707-2383
Mailing address
1018 BROAD ST STE 6, BLOOMFIELD, NJ 07003-2884
(862) 930-5700
(973) 707-2383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00155200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174436
—
NJ
01
—
37LC0015520
LCADC
NJ
Enumeration date
01/18/2021
Last updated
11/24/2025
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