Child And Family Counseling Center, Llc | |
320 Raritan Ave Suite 308 Highland Park NJ 08904-2752 | |
(732) 572-5300 | |
(732) 985-1973 |
Full Name | Child And Family Counseling Center, Llc |
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Speciality | Social Worker |
Location | 320 Raritan Ave, Highland Park, New Jersey |
Authorized Official Name and Position | Debra L Rosenfeld (PARTNER) |
Authorized Official Contact | 7325725300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Child And Family Counseling Center, Llc 320 Raritan Ave Suite 308 Highland Park NJ 08904-2752 Ph: (732) 572-5300 | Child And Family Counseling Center, Llc 320 Raritan Ave Suite 308 Highland Park NJ 08904-2752 Ph: (732) 572-5300 |
NPI Number | 1689877979 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 12/17/2007 |
Medicare PECOS PAC ID | 0345321261 |
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Medicare Enrollment ID | O20080117000204 |
Identifier | Type | State | Issuer |
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1689877979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lawrence L Fisch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710067889 PECOS PAC ID: 9032176631 Enrollment ID: I20041215000596 |
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