Provider Demographics
NPI:1780988238
Name:SEIGERMAN, DRUE (LCADC)
Entity type:Individual
Prefix:MR
First Name:DRUE
Middle Name:
Last Name:SEIGERMAN
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 RIVER STYX RD
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-1837
Mailing Address - Country:US
Mailing Address - Phone:646-533-2296
Mailing Address - Fax:
Practice Address - Street 1:490 RIVER STYX RD
Practice Address - Street 2:
Practice Address - City:HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07843-1837
Practice Address - Country:US
Practice Address - Phone:646-533-2296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-26
Last Update Date:2010-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00172600101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)