Individual
SCOTT S SPATOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LCADC
Contact information
Practice address
130 POWERVILLE ROAD, SAINT CLARES HOSPITAL, BOONTON, NJ 07005
(973) 299-5475
(973) 299-5425
Mailing address
130 POWERVILLE ROAD, BOONTON, NJ 07005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00072000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4138601
—
NJ
Enumeration date
03/14/2007
Last updated
07/08/2007
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