Doctor Name: | ROVIN CHONIELALL |
NPI Number: | 1073902961 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCADC |
License Number: | 37LC00222900 |
Business Practice Address: | 117 Dey St Hightstown, NJ - 085204324 |
Business Phone Number: | 2017242112 |
Business Fax Number: | 6094484043 |
Mailing Address: | 117 Dey St, HIGHTSTOWN |
State: | NJ |
Postal Code: | 085204324 |
Phone Number: | 2017242112 |
Fax Number: | 6094484043 |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 01/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00222900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |