Sara Durham
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mendham, NJ
NPI 1043672801 · NPPES record last updated Mar 22, 2016
Key facts
- NPI
- 1043672801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 80 W Main St
Mendham, NJ 07945-1257 - Phone
- (973) 943-5656
- Fax
- (973) 543-1361
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
80 W Main St
Mendham, NJ 07945-1257
Mailing address
957 Vineland Ave
Bridgeton, NJ 08302-4825
Other providers in Mendham, NJ
- Dimer Health Services Inc
- Dimerhealth Medical Practice
- Dr. Donald F. Baker
- Daniel John Dragalin
- Gloria Duarte
- Debra Ann Duryea
- Hannah R Edgell
- Encare of Mendham, LLC
- Enotdis, Inc.
- Kathleen Erbeck
All providers in Mendham, NJ · Addiction (Substance Use Disorder) Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.