Bergen Mental Health Counseling Of New Jersey Llc | |
70 Midland Ave 71 Franklin Turnpike Wyckoff NJ 07481-3344 | |
(201) 707-1796 | |
Not Available |
Full Name | Bergen Mental Health Counseling Of New Jersey Llc |
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Speciality | Community/behavioral Health |
Location | 70 Midland Ave, Wyckoff, New Jersey |
Authorized Official Name and Position | Joan Kathryn Walpole (OWNER) |
Authorized Official Contact | 2017071796 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bergen Mental Health Counseling Of New Jersey Llc 70 Midland Ave Wyckoff NJ 07481-3344 Ph: (201) 707-1796 | Bergen Mental Health Counseling Of New Jersey Llc 70 Midland Ave 71 Franklin Turnpike Wyckoff NJ 07481-3344 Ph: (201) 707-1796 |
NPI Number | 1205251360 |
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Provider Enumeration Date | 02/26/2014 |
Last Update Date | 02/26/2014 |
Identifier | Type | State | Issuer |
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1205251360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 37PC00454500 (New Jersey) | Primary |
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