Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVE BENCIVENGO, LCADC
Active Sole ProprietorDAVE BENCIVENGO, LCADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CRANFORD, New Jersey. NPI 1124303680 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CRANFORD, NJ
Registration Details
- NPI Number
- 1124303680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2011 (14.871391214849 yrs)
- Last Updated
- Oct 17, 2011
- License
-
37LC00047100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 NORTH AVE ECRANFORD, NJ, 070162435Browse NJ providers · Browse ZIP 07016
- Phone
- 9084973954
- Fax
- 9089310304
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CRANFORD, NJ
| Name | Credential | NPI |
|---|---|---|
| JESSICA BULLOCK | LCADC, MA, CCS | 1649695610 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.