Institute For Practical Life | |
328 Denison Street Highland Park NJ 08904 | |
(732) 610-5119 | |
Not Available |
Full Name | Institute For Practical Life |
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Speciality | Counselor |
Location | 328 Denison Street, Highland Park, New Jersey |
Authorized Official Name and Position | Jusleine C Daniel (CEO) |
Authorized Official Contact | 7326105119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Institute For Practical Life Po Box 23 Edison NJ 08818 Ph: (732) 610-5119 | Institute For Practical Life 328 Denison Street Highland Park NJ 08904 Ph: (732) 610-5119 |
NPI Number | 1699289157 |
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Provider Enumeration Date | 11/20/2017 |
Last Update Date | 08/11/2021 |
Certification Date | 08/11/2021 |
Medicare PECOS PAC ID | 6204246564 |
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Medicare Enrollment ID | O20201028000972 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699289157 | NPI | - | NPPES |
0601021 | Medicaid | NJ |
Provider Name | Jusleine C Daniel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912347147 PECOS PAC ID: 7810284338 Enrollment ID: I20160928000391 |
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