| Esther Ganz, Llc | |
|
80 Scenic Dr Suite 2 Freehold NJ 07728-5210 | |
| (732) 995-1246 | |
| Not Available |
| Full Name | Esther Ganz, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 80 Scenic Dr, Freehold, New Jersey |
| Authorized Official Name and Position | Esther Ganz (COUNSELOR) |
| Authorized Official Contact | 7329951246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esther Ganz, Llc 80 Scenic Dr Suite 2 Freehold NJ 07728-5210 Ph: (732) 995-1246 | Esther Ganz, Llc 80 Scenic Dr Suite 2 Freehold NJ 07728-5210 Ph: (732) 995-1246 |
| NPI Number | 1265660377 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265660377 | NPI | - | NPPES |
| LIC#37PC00104700 | Other | NJ | INDIVIDUAL NPI #170681934 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00032300 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00104700 (New Jersey) | Primary |
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