| Chung Psychotherapy Lcsw Llc | |
|
140 County Rd Ste 106 Tenafly NJ 07670-1842 | |
| (551) 697-3845 | |
| Not Available |
| Full Name | Chung Psychotherapy Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 140 County Rd Ste 106, Tenafly, New Jersey |
| Authorized Official Name and Position | Tracy S Chung (CLINICAL LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 5516973845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chung Psychotherapy Lcsw Llc 296 Crocker Pl Haworth NJ 07641-1206 Ph: (551) 697-3845 | Chung Psychotherapy Lcsw Llc 140 County Rd Ste 106 Tenafly NJ 07670-1842 Ph: (551) 697-3845 |
| NPI Number | 1871249656 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871249656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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