| Ariemini Psychology Group Llc | |
|
25 N Fullerton Ave 2nd Fl Montclair NJ 07042-3435 | |
| (973) 610-1404 | |
| Not Available |
| Full Name | Ariemini Psychology Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 25 N Fullerton Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Al-malik Kenneth Jenkins (CEO) |
| Authorized Official Contact | 9736101404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ariemini Psychology Group Llc 125 Glenridge Ave 704 Montclair NJ 07042-6800 Ph: (973) 610-1404 | Ariemini Psychology Group Llc 25 N Fullerton Ave 2nd Fl Montclair NJ 07042-3435 Ph: (973) 610-1404 |
| NPI Number | 1356796692 |
|---|---|
| Provider Enumeration Date | 04/24/2016 |
| Last Update Date | 04/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356796692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00426400 (New Jersey) | Primary |
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