KELVIN LYNN BEATTY

CLIFTON, NJ
NPI1902477508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ  37LC00328300)
Enumeration Date2021-07-05
Last Update Date2021-07-05
Business Address
KELVIN LYNN BEATTY LCADC
777 BLOOMFIELD AVE
CLIFTON, NJ 07012-1242
Phone number: 973-594-0125
Mailing Address
KELVIN LYNN BEATTY LCADC
291 PROSPECT AVE
WEST ORANGE, NJ 07052-4205
Phone number: 973-336-7323
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