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.

NPI 1851922397Paterson, NJAddiction (Substance Use Disorder) Counselor

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)

Endpoints

  • other

    Connect Url | Other | Paterson, NJ 07514

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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
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)