| Wayne Magee Lcadc | |
|
1665 North Ave Port Norris NJ 08349 | |
| (856) 332-0290 | |
| Not Available |
| Full Name | Wayne Magee Lcadc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1665 North Ave, Port Norris, New Jersey |
| Authorized Official Name and Position | Wayne Magee (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 8563320290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Magee Lcadc 35 S Burlington Rd Bridgeton NJ 08302-2262 Ph: () - | Wayne Magee Lcadc 1665 North Ave Port Norris NJ 08349 Ph: (856) 332-0290 |
| NPI Number | 1558778209 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558778209 | NPI | - | NPPES |
| 5312960 | Other | NJ | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00205500 (New Jersey) | Primary |
Peridot Assisted Living Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2408 High St, Port Norris, NJ 08349 Phone: 732-429-4989 |