| Counseling And Consulting Services Of North Jersey Llc | |
|
90 E Halsey Rd Ste 369 Parsippany NJ 07054-3709 | |
| (848) 482-1089 | |
| (848) 217-0011 |
| Full Name | Counseling And Consulting Services Of North Jersey Llc |
|---|---|
| Speciality | Social Worker |
| Location | 90 E Halsey Rd Ste 369, Parsippany, New Jersey |
| Authorized Official Name and Position | Luciann Marie Cooke (OWNER) |
| Authorized Official Contact | 8484821089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Consulting Services Of North Jersey Llc 18 South St Madison NJ 07940-1510 Ph: (848) 482-1089 | Counseling And Consulting Services Of North Jersey Llc 90 E Halsey Rd Ste 369 Parsippany NJ 07054-3709 Ph: (848) 482-1089 |
| NPI Number | 1588133490 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 7315284650 |
|---|---|
| Medicare Enrollment ID | O20190124003023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588133490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Luciann M Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558816603 PECOS PAC ID: 0749527083 Enrollment ID: I20190124003296 |
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