| Carly Decotiis Pc | |
|
18 Bank St Ste 1 Summit NJ 07901-3659 | |
| (908) 546-2126 | |
| Not Available |
| Full Name | Carly Decotiis Pc |
|---|---|
| Speciality | Counselor |
| Location | 18 Bank St Ste 1, Summit, New Jersey |
| Authorized Official Name and Position | Carly Decotiis (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9085462126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Decotiis Pc 18 Bank St Ste 1 Summit NJ 07901-3659 Ph: (908) 546-2126 | Carly Decotiis Pc 18 Bank St Ste 1 Summit NJ 07901-3659 Ph: (908) 546-2126 |
| NPI Number | 1992360002 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992360002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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