| Doctor Name: | JUDETH F WESLEY |
| NPI Number: | 1316337116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, LCSW, LCADC |
| License Number: | 37LC00122300 |
| Business Practice Address: | 502 Spring Hollow Dr Cedar Knolls, NJ - 079272405 |
| Business Phone Number: | 9739430805 |
| Business Fax Number: | |
| Mailing Address: | Po Box 123, CEDAR KNOLLS |
| State: | NJ |
| Postal Code: | 079270123 |
| Phone Number: | 9739430805 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2015 |
| NPI Last Update Date: | 01/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00122300 |
| 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: | |