| Anchored Hope Counseling Center | |
|
42 Craig St Hazlet NJ 07730-1625 | |
| (732) 977-9034 | |
| Not Available |
| Full Name | Anchored Hope Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 42 Craig St, Hazlet, New Jersey |
| Authorized Official Name and Position | Jacqueline Concepcion (LCSW) |
| Authorized Official Contact | 9085461520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Hope Counseling Center 1000 Rte 34 Ste 205 Matawan NJ 07747-3477 Ph: (908) 546-1520 | Anchored Hope Counseling Center 42 Craig St Hazlet NJ 07730-1625 Ph: (732) 977-9034 |
| NPI Number | 1710337225 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Medicare PECOS PAC ID | 5991066268 |
|---|---|
| Medicare Enrollment ID | O20180301000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710337225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05681200 (New Jersey) | Primary |
| Provider Name | Jacqueline Concepcion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144682535 PECOS PAC ID: 4981994886 Enrollment ID: I20160606001566 |
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