Perry Rashiyd Bakari, LCADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cherry Hill, NJ
NPI 1962092239 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1962092239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 37LC00364700 (NJ)
- Practice address
- 1080 Cornell Ave South
Building 6
Cherry Hill, NJ 08002 - Phone
- (856) 246-4744
- Fax
- (973) 571-8003
- NPI assigned
- Jan 21, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37CA00165400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37LC00364700 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37CA00165400 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00364700 | NJ | Yes |
Addresses
Primary practice location
1080 Cornell Ave South
Building 6
Cherry Hill, NJ 08002
Mailing address
900 Easton Ave, PO Box 6617
Somerset, NJ 08875-6617
Phone (732) 246-1347
Other providers in Cherry Hill, NJ
- John Trevor Bailer
- Erin Bailey
- Jennifer Lee Bailey
- Mary Bailey
- Yury Bak
- Erin Baker
- Kelly M Baker
- Robin Baker
- Balanced Integrative Medicine
- Balanced Reflection Counseling
All providers in Cherry Hill, 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 Jul 22, 2024. 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.