Craig L Conway, LPC

Individual provider Active NPI Professional Counselor · Bayville, NJ

NPI 1629411475 · NPPES record last updated Apr 11, 2013

Key facts

NPI
1629411475
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00055200 (NJ)
Practice address
46 Marlin CT
Bayville, NJ 08721-2465
Phone
(732) 395-1448
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37PC00055200NJMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00055200 NJ Yes

Addresses

Primary practice location

46 Marlin CT
Bayville, NJ 08721-2465

Mailing address

46 Marlin CT
Bayville, NJ 08721-2465
Phone (732) 395-1448

Other providers in Bayville, NJ

All providers in Bayville, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.