Doctor Name: | MR. NICHOLAS CERAMI |
NPI Number: | 1073872990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC, LCADC, ACS |
License Number: | 37LC00202100 |
Business Practice Address: | 135 Columbia Tpke Suite 201 Florham Park, NJ - 079322104 |
Business Phone Number: | 2014522053 |
Business Fax Number: | |
Mailing Address: | 135 Columbia Tpke, Suite 201 FLORHAM PARK |
State: | NJ |
Postal Code: | 079322104 |
Phone Number: | 2014522053 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00202100 |
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: |