| Harold Creary Ma Lpc | |
|
28 Millburn Ave. Suite 7, 2nd Floor Springfield NJ 07081 | |
| (201) 463-2261 | |
| (973) 328-1859 |
| Full Name | Harold Creary Ma Lpc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 28 Millburn Ave., Springfield, New Jersey |
| Authorized Official Name and Position | Harold Creary (SOLE MBR) |
| Authorized Official Contact | 2014632261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold Creary Ma Lpc 28 Millburn Ave. Suite 7, 2nd Floor Springfield NJ 07081 Ph: (201) 463-2261 | Harold Creary Ma Lpc 28 Millburn Ave. Suite 7, 2nd Floor Springfield NJ 07081 Ph: (201) 463-2261 |
| NPI Number | 1568221679 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 9931549326 |
|---|---|
| Medicare Enrollment ID | O20240502001184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568221679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Harold Creary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144536517 PECOS PAC ID: 5597083832 Enrollment ID: I20240502001536 |
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