Organization
GODISINC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE M MAGEE JR. MHS, LCADC (SUBSTANCE ABUSE COUNSELOR)
(856) 332-0290
Entity
Organization
Contact information
Practice address
35 S BURLINGTON RD, BRIDGETON, NJ 08302-2262
(856) 332-0290
Mailing address
35 S BURLINGTON RD, BRIDGETON, NJ 08302-2262
(856) 332-0290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37LC00205500
LCADC LICENSE NUMBER
NJ
Enumeration date
09/22/2022
Last updated
09/22/2022
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