| Counsel Nj Llc | |
|
1605 John St Ste 207 Fort Lee NJ 07024-2550 | |
| (201) 820-5422 | |
| Not Available |
| Full Name | Counsel Nj Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1605 John St Ste 207, Fort Lee, New Jersey |
| Authorized Official Name and Position | Nadia M Jimenez (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2018205422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counsel Nj Llc 716b Broad Ave Ridgefield NJ 07657-1640 Ph: (201) 820-5422 | Counsel Nj Llc 1605 John St Ste 207 Fort Lee NJ 07024-2550 Ph: (201) 820-5422 |
| NPI Number | 1639414881 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639414881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05446700 (New Jersey) | Primary |
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