NPI 1043060379

Alquan Spencer, CADC

Practitioner Addiction (Substance Use Disorder) Counselor Elizabeth, NJ

Practice location

Address: 850 Woodruff Ln, Elizabeth, NJ 07201-2022
Phone: (908) 352-0850

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 37CA00175400 (NJ)

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Registry record

NPI: 1043060379
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2024
Record last updated: 27 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.