Individual
MR. HENRY IWUALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA, LCADC
Contact information
Practice address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 609-8398
Mailing address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 609-8398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00149900
NJ
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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