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NPI Code Detail

MEDICARE: CONCETTA SCHILT LCADC

MEDICARE: CONCETTA SCHILT LCADC
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) Counselor37LC00231600NJ

General Provider Information

NPI Number : 1942976212
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONCETTA SCHILT LCADC
Provider Business Mailing Address
First Line : 2701 RENAISSANCE BLVD FL 4
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-2781
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 ERNSTON RD
Second Line :
City : SOUTH AMBOY
State : NJ
Zip : 08879-2000
Country : US
Telephone Number : 855-740-1921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 08/18/2021

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