Summer B Brancoccio, LAC, LCADC

NPI #1386993970 in Ridgewood, New Jersey

Provider Information

NPI Number: 1386993970
Entity Type: Individual
Name: Summer B Brancoccio, LAC, LCADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LAC, LCADC
Enumeration Date: Aug 29, 2012
Last Updated: Aug 29, 2012

Practice Location

Address: 120 CHESTNUT STREET
City: Ridgewood
State: New Jersey
ZIP Code: 07450
Phone: (201) 444-3550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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