Individual
MR. PAUL R. LAVELLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LCADC, ACS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00174800
NJ
101YP2500X
Professional Counselor
Primary
37PC00455600
NJ
Other
Enumeration date
05/30/2013
Last updated
07/06/2022
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