National Provider Identifier
Glorious Ali Shabazz
Glorious Ali Shabazz is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Paterson, NJ and a listed phone number of (973) 930-0044.
Source: public NPPES record, last updated February 03, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1851922397
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- February 03, 2020
- Last Updated
- February 03, 2020
Practice Location
- 300 E 29Th St
- Paterson, NJ 07514-1818
Phone: (973) 930-0044
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Glorious A. Shabazz is a Paterson-based addiction counselor. Public records list him as a substance use disorder counselor in the NPPES registry, and the New Jersey Division of Consumer Affairs license-verification system identifies him as an active Licensed Clinical Alcohol & Drug Counselor.
Full Record
- NPI
- 1851922397
- Entity Type
- Individual
- Last Name
- Shabazz
- First Name
- Glorious
- Middle Name
- Ali
- Mailing Street Address
- 300 E 29Th St
- Mailing City
- Paterson
- Mailing State
- NJ
- Mailing ZIP Code
- 07514-1818
- Mailing Country
- US
- Mailing Phone
- (973) 930-0044
- Practice Street Address
- 300 E 29Th St
- Practice City
- Paterson
- Practice State
- NJ
- Practice ZIP Code
- 07514-1818
- Practice Country
- US
- Practice Phone
- (973) 930-0044
- Enumeration Date
- February 03, 2020
- Last Updated
- February 03, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 03, 2020
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)