Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA BULLOCK, LCADC, MA, CCS
Active Sole ProprietorJESSICA BULLOCK, LCADC, MA, CCS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CRANFORD, New Jersey. NPI 1649695610 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CRANFORD, NJ
Registration Details
- NPI Number
- 1649695610
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2014 (12.50998078869 yrs)
- Last Updated
- Feb 19, 2025
- License
-
37PC00529500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 SOUTH AVE E STE 200CRANFORD, NJ, 070162811Browse NJ providers · Browse ZIP 07016
- Phone
- 7327705627
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CRANFORD, NJ
| Name | Credential | NPI |
|---|---|---|
| DAVE BENCIVENGO | LCADC | 1124303680 |
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.