| Dare To Change, Llc | |
|
90 E Halsey Rd Ste 354 Parsippany NJ 07054-3709 | |
| (862) 261-0694 | |
| Not Available |
| Full Name | Dare To Change, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 90 E Halsey Rd Ste 354, Parsippany, New Jersey |
| Authorized Official Name and Position | Rosa Mercado (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8622610694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dare To Change, Llc 90 E Halsey Rd Ste 354 Parsippany NJ 07054-3709 Ph: (862) 261-0694 | Dare To Change, Llc 90 E Halsey Rd Ste 354 Parsippany NJ 07054-3709 Ph: (862) 261-0694 |
| NPI Number | 1083129837 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083129837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00474700 (New Jersey) | Primary |
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