| David Aichroth Lcadc, Lsw, | |
|
11 Dundar Rd Ste 105 Springfield NJ 07081-3513 | |
| (631) 219-9503 | |
| (908) 822-0449 |
| Full Name | David Aichroth Lcadc, Lsw, |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11 Dundar Rd Ste 105, Springfield, New Jersey |
| Authorized Official Name and Position | David Andre Aichroth (LICENSED CLINICAL ALCHOL AND DRUG C) |
| Authorized Official Contact | 6312199503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Aichroth Lcadc, Lsw, 11 Dundar Rd Ste 105 Springfield NJ 07081-3513 Ph: (631) 219-9503 | David Aichroth Lcadc, Lsw, 11 Dundar Rd Ste 105 Springfield NJ 07081-3513 Ph: (631) 219-9503 |
| NPI Number | 1205155637 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205155637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3LC00163100 (New Jersey) | Primary |
| 104100000X | Social Worker | 44SL05429400 (New Jersey) | Secondary |
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