Provider Demographics
NPI:1285258061
Name:ADLEN, STEVEN ERIC (CAC, ICRCADC, CCAR)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ERIC
Last Name:ADLEN
Suffix:
Gender:M
Credentials:CAC, ICRCADC, CCAR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 CARAVELLE DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8232
Mailing Address - Country:US
Mailing Address - Phone:561-632-1100
Mailing Address - Fax:
Practice Address - Street 1:141 CARAVELLE DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8232
Practice Address - Country:US
Practice Address - Phone:561-632-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC-005381-2014101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)