| Eclectic Counseling Center | |
|
287 Boulevard Pompton Plains NJ 07444 | |
| (973) 835-0740 | |
| (973) 633-8658 |
| Full Name | Eclectic Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 287 Boulevard, Pompton Plains, New Jersey |
| Authorized Official Name and Position | Joseph L Dechristofano (PARTNER) |
| Authorized Official Contact | 9738350740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclectic Counseling Center 287 Boulevard Pompton Plains NJ 07444 Ph: (973) 835-0740 | Eclectic Counseling Center 287 Boulevard Pompton Plains NJ 07444 Ph: (973) 835-0740 |
| NPI Number | 1770749608 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 6103963517 |
|---|---|
| Medicare Enrollment ID | O20091016000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770749608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC01302300 (New Jersey) | Primary |
| Provider Name | Mary V Dechristofano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588839708 PECOS PAC ID: 7719924885 Enrollment ID: I20050411000373 |
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