Provider Demographics
NPI:1629453964
Name:BELAMARICH, DAWN MARIE (LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:BELAMARICH
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:BELAMARICH BERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LCADC
Mailing Address - Street 1:2916 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-3736
Mailing Address - Country:US
Mailing Address - Phone:609-214-4011
Mailing Address - Fax:
Practice Address - Street 1:222 NEW RD
Practice Address - Street 2:SUITE 801
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1299
Practice Address - Country:US
Practice Address - Phone:609-214-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00201600101YA0400X
NJ37PC00564300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)