Mr Gary A Dock Sr, LCADC | |
190 W Oak Ave Apt A, Lawnside, NJ 08045 | |
(862) 324-4375 | |
Not Available |
Full Name | Mr Gary A Dock Sr |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 190 W Oak Ave Apt A, Lawnside, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508034455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC000761000 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Gary A Dock Sr, LCADC 190 W Oak Ave Apt A, Lawnside, NJ 08045-1215 Ph: (862) 324-4375 | Mr Gary A Dock Sr, LCADC 190 W Oak Ave Apt A, Lawnside, NJ 08045 Ph: (862) 324-4375 |
Ms. Nailah Akanke Green, MS, LCADC, CCJP Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Bryant Ave, Lawnside, NJ 08045 Phone: 856-655-8761 Fax: 856-665-5571 | |
Kenisha Louvinia Coley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Bryant Ave, Lawnside, NJ 08045 Phone: 856-539-4299 |