Individual
VIRGINIA HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 N HARTFORD AVE, ATLANTIC CITY, NJ 08401-3512
(609) 348-1161
(609) 645-7343
Mailing address
6550 DELILAH RD, SUITE 301, EGG HARBOR TOWNSHIP, NJ 08234-5102
(609) 272-8580
(609) 645-7343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00108200
NJ
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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