| Esther Legacy Counseling Center, Llc | |
|
121 Cedar Ln Teaneck NJ 07666-4457 | |
| (201) 429-5081 | |
| Not Available |
| Full Name | Esther Legacy Counseling Center, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 121 Cedar Ln, Teaneck, New Jersey |
| Authorized Official Name and Position | Yohanny C Valderrama (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2015628931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esther Legacy Counseling Center, Llc 39 E 9th St Clifton NJ 07011-1107 Ph: (201) 562-8931 | Esther Legacy Counseling Center, Llc 121 Cedar Ln Teaneck NJ 07666-4457 Ph: (201) 429-5081 |
| NPI Number | 1609380013 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 12/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609380013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New Jersey) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 44SC05657400 (New Jersey) | Primary |
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