Comprehensive Counseling Center | |
287 Boulevard Pompton Plains NJ 07444-1726 | |
(201) 320-6334 | |
Not Available |
Full Name | Comprehensive Counseling Center |
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Speciality | Social Worker |
Location | 287 Boulevard, Pompton Plains, New Jersey |
Authorized Official Name and Position | Lori Phelan (OWNER) |
Authorized Official Contact | 2013206334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Counseling Center 10 Shady Ter Wayne NJ 07470-4320 Ph: (201) 320-6334 | Comprehensive Counseling Center 287 Boulevard Pompton Plains NJ 07444-1726 Ph: (201) 320-6334 |
NPI Number | 1710618681 |
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Provider Enumeration Date | 06/22/2022 |
Last Update Date | 04/03/2024 |
Certification Date | 04/03/2024 |
Medicare PECOS PAC ID | 7012369903 |
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Medicare Enrollment ID | O20240116003565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710618681 | NPI | - | NPPES |
1588078323 | Other | NJ | COMMERCIAL |
Provider Name | Lori Phelan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588078323 PECOS PAC ID: 3173974672 Enrollment ID: I20240109003588 |
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