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Individual

MR. SHALIN J BHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCADC, NCC

Contact information

Practice address
323 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1824
(973) 596-3414
Mailing address
725 RIVER ROAD, SUITE 32, #156, EDGEWATER, NJ 07020-1149
(551) 325-4715

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00301400
NJ
101YP2500X
Professional Counselor
Primary
37PC00661000
NJ

Other

Enumeration date
02/05/2015
Last updated
03/15/2022
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