D20 Therapeutics | |
92 Church St Montclair NJ 07042-2713 | |
(862) 621-9175 | |
Not Available |
Full Name | D20 Therapeutics |
---|---|
Speciality | Social Worker - Clinical |
Location | 92 Church St, Montclair, New Jersey |
Authorized Official Name and Position | Jacques Maitre (OWNER) |
Authorized Official Contact | 4085166282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
D20 Therapeutics 154 Berkeley Ave Bloomfield NJ 07003-5725 Ph: (408) 516-6282 | D20 Therapeutics 92 Church St Montclair NJ 07042-2713 Ph: (862) 621-9175 |
NPI Number | 1366137937 |
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Provider Enumeration Date | 04/10/2023 |
Last Update Date | 04/10/2023 |
Certification Date | 04/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366137937 | NPI | - | NPPES |
1033609847 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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