John Conneely in Wall Township - Addiction (substance Use Disorder)
John Conneely - NPI 1245378363
John Conneely is a Addiction (substance Use Disorder) in Wall Township, New Jersey. John Conneely practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Conneely is 1245378363. The last update date is 2007-07-09.
John Conneely's current location address is 1519 Valley Dr, Wall Township, New Jersey. You can contact this provider via phone number 7329964889. The mailing address for John Conneely is 1519 Valley Dr, Wall Township, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Conneely |
|---|---|
| Address | 1519 Valley Dr, Wall Township, New Jersey |
| Phone Number | 7329964889 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCADC |
NPI Number Detail
| NPI Number | 1245378363 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1519 Valley Dr |
|---|---|
| City | Wall Township |
| State | New Jersey (NJ) |
| Post Code | 77193929 |
| Phone Number | 7329964889 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 37LC00030300 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29807 | NJ | -- |
Post Comment/ Review Below
What is the John Conneely's unique identification number?
The John Conneely has been assigned the NPI (National Provider Identifier) Number 1245378363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where John Conneely's facilities are geographically located?
The facilities of John Conneely are physically situated at the following location: 1519 Valley Dr, Wall Township, NJ, 77193929.
What is the area of specialization for John Conneely, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Conneely is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the John Conneely receive its 1245378363 assignment from the Centers for Medicare & Medicaid Services?
The John Conneely was assigned its 1245378363 by the Centers for Medicare & Medicaid Services on 2007-02-01.
When was the information pertaining to John Conneely most recently updated or revised?
The details related to John Conneely, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH