| Inner Image Counseling & Consulting Services | |
|
90 Valley Way West Orange NJ 07052-5833 | |
| (186) 662-0232 | |
| Not Available |
| Full Name | Inner Image Counseling & Consulting Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 90 Valley Way, West Orange, New Jersey |
| Authorized Official Name and Position | Carolyn Davis-cottle (CEO) |
| Authorized Official Contact | 18666202323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Image Counseling & Consulting Services 2130 Millburn Ave Suite D Maplewood NJ 07040-3725 Ph: (186) 662-0232 | Inner Image Counseling & Consulting Services 90 Valley Way West Orange NJ 07052-5833 Ph: (186) 662-0232 |
| NPI Number | 1487009452 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487009452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05642500 (New Jersey) | Primary |
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