| Doctor Name: | DR. JERALD CILENTE |
| NPI Number: | 1063818193 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, LCADC, ABMPP |
| License Number: | 37LC00185000 |
| Business Practice Address: | 1830 Front Street Scotch Plains, NJ - 07076 |
| Business Phone Number: | 9083229180 |
| Business Fax Number: | 9083229094 |
| Mailing Address: | 1830 Front Street, SCOTCH PLAINS |
| State: | NJ |
| Postal Code: | 07076 |
| Phone Number: | 9083229180 |
| Fax Number: | 9083229094 |
| NPI Enumeration Date: | 11/18/2014 |
| NPI Last Update Date: | 11/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00185000 |
| 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: | |