Justin Daniel Streater Sr.
Individual provider Active NPI Mental Health Counselor · Erial, NJ
NPI 1417349366 · NPPES record last updated Mar 2, 2015
Key facts
- NPI
- 1417349366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2295 Garwood Rd
Erial, NJ 08081-2221 - Phone
- (609) 267-5928
- NPI assigned
- Mar 2, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2295 Garwood Rd
Erial, NJ 08081-2221
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928
Other providers in Erial, NJ
- Oaks Integrated Care
- Oaks Integrated Care, Inc
- Jennie Pless
- India Powe
- Dawn Specht
- Twin Oaks Community Services, Inc
- Twin Oaks Community Services, Inc
- Lisa Walker
All providers in Erial, NJ · Mental Health 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 2, 2015. 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.