Doctor Name: | LOU STOREY |
NPI Number: | 1013297936 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, LCADC |
License Number: | 37LC00175100 |
Business Practice Address: | 43 W Front St Suite 14a Red Bank, NJ - 077011624 |
Business Phone Number: | 7325300742 |
Business Fax Number: | 7325300742 |
Mailing Address: | 43 W Front St, Suite 14a RED BANK |
State: | NJ |
Postal Code: | 077011624 |
Phone Number: | 7325300742 |
Fax Number: | 7325300742 |
NPI Enumeration Date: | 08/23/2011 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00175100 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |