Individual provider · NPI-1
Angela Abbott, MS, LAC, LCADC, CCTP
Counselor, Addiction (Substance Use Disorder) · Brick, NJ
NPI number1336076744
StatusActive
Last updated in NPPESMay 7, 2026
Details
- NPI
- 1336076744
- Entity type
- Individual (NPI-1)
- Name
- Angela Abbott
- Credential
- MS, LAC, LCADC, CCTP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2026
- Certification date
- May 7, 2026
- Last updated
- May 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00409800 | NJ | Yes |
| 101YM0800X | Counselor, Mental Health | 37AC00903800 | NJ |
Practice location
426 Adamston RdBrick, NJ 08723-8036
Phone 732-814-6196
Mailing address
426 Adamston RdBrick, NJ 08723-8036
Phone 732-814-6196
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