MS. Philadelphia Jeane Prokop, LCSW/LCADC
NPI #1255591129 in Lyndhurst, New Jersey
Provider Information
- NPI Number
- 1255591129
- Entity Type
- Individual
- Name
- MS. Philadelphia Jeane Prokop, LCSW/LCADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCSW/LCADC
- Enumeration Date
- Jun 13, 2008
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 516 VALLEY BROOK AVE
- City
- Lyndhurst
- State
- New Jersey
- ZIP Code
- 07071-1930
- Phone
- (201) 935-3322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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