Innovative Counseling Llc | |
101 Park St Montclair NJ 07042-2963 | |
(973) 744-4300 | |
Not Available |
Full Name | Innovative Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 101 Park St, Montclair, New Jersey |
Authorized Official Name and Position | Amy Kruvant (PRESIDENT) |
Authorized Official Contact | 9737444300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Counseling Llc 11 Blackberry Ln North Caldwell NJ 07006-4170 Ph: (973) 744-4300 | Innovative Counseling Llc 101 Park St Montclair NJ 07042-2963 Ph: (973) 744-4300 |
NPI Number | 1033350921 |
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Provider Enumeration Date | 03/23/2009 |
Last Update Date | 03/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033350921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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