Cooperative Counseling Services, Llc | |
1139 Spruce Dr Ste 2 Mountainside NJ 07092-2221 | |
(908) 731-7099 | |
(908) 731-7102 |
Full Name | Cooperative Counseling Services, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1139 Spruce Dr Ste 2, Mountainside, New Jersey |
Authorized Official Name and Position | Leslie Kirsten Moorman (CEO) |
Authorized Official Contact | 9085770818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cooperative Counseling Services, Llc 1139 Spruce Dr Ste 2 Mountainside NJ 07092-2221 Ph: (908) 731-7099 | Cooperative Counseling Services, Llc 1139 Spruce Dr Ste 2 Mountainside NJ 07092-2221 Ph: (908) 731-7099 |
NPI Number | 1417080003 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 03/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417080003 | NPI | - | NPPES |
0087751 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 44SCO4843600 (New Jersey) | Primary |
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