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NPI Code Detail

MEDICARE: KAITLYNN ELIZABETH AZNER

MEDICARE: KAITLYNN ELIZABETH AZNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00349000NJ
2104100000XSocial Worker44SL06712200NJ

General Provider Information

NPI Number : 1952034647
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYNN ELIZABETH AZNER
Provider Business Mailing Address
First Line : 33 SICOMAC RD STE 305
Second Line :
City : NORTH HALEDON
State : NJ
Zip : 07508-2954
Country : US
Telephone Number : 973-348-6004
Fax Number :
Provider Business Practice Location Address
First Line : 33 SICOMAC RD STE 305
Second Line :
City : NORTH HALEDON
State : NJ
Zip : 07508-2954
Country : US
Telephone Number : 973-348-6004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2022
Last Update Date : 11/18/2025

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Directions to “ KAITLYNN ELIZABETH AZNER ” Practice Location

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