| 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 |