| Collaborative Counseling Services, Llc | |
|
320 Raritan Ave Suite 203 Highland Park NJ 08904-2752 | |
| (732) 395-7351 | |
| Not Available |
| Full Name | Collaborative Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 320 Raritan Ave, Highland Park, New Jersey |
| Authorized Official Name and Position | Marybreen O'connor (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7326729815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling Services, Llc 320 Raritan Ave Suite 203 Highland Park NJ 08904-2752 Ph: (732) 395-7351 | Collaborative Counseling Services, Llc 320 Raritan Ave Suite 203 Highland Park NJ 08904-2752 Ph: (732) 395-7351 |
| NPI Number | 1669919262 |
|---|---|
| Provider Enumeration Date | 01/21/2017 |
| Last Update Date | 01/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669919262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00541600 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05708700 (New Jersey) | Primary |
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