Elizabeth M Leidolf, MA, MBA, LCADC
Counselor, Addiction (Substance Use Disorder) in Salem, NJ. Individual provider (NPI-1).
NPI number1679833859
StatusActive
Last updated in NPPESMay 22, 2012
Details
- NPI
- 1679833859
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elizabeth M Leidolf
- Credential
- MA, MBA, LCADC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2012
- Last updated
- May 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37lc00105900 | NJ | Yes |
Practice location
55 Chestnut StSalem, NJ 08079-1443
Phone 856-878-1212
Mailing address
55 Chestnut StSalem, NJ 08079-1443
Phone 856-878-1212
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