Journey Counseling Center Llc | |
17 Newark Bay Ct Bayonne NJ 07002-1904 | |
(201) 320-8130 | |
Not Available |
Full Name | Journey Counseling Center Llc |
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Speciality | Social Worker |
Location | 17 Newark Bay Ct, Bayonne, New Jersey |
Authorized Official Name and Position | Victor Hugo Llerena (PRESIDENT) |
Authorized Official Contact | 2013208130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Journey Counseling Center Llc 17 Newark Bay Ct Bayonne NJ 07002-1904 Ph: (201) 320-8130 | Journey Counseling Center Llc 17 Newark Bay Ct Bayonne NJ 07002-1904 Ph: (201) 320-8130 |
NPI Number | 1871027763 |
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Provider Enumeration Date | 04/18/2017 |
Last Update Date | 04/20/2017 |
Medicare PECOS PAC ID | 6406122597 |
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Medicare Enrollment ID | O20171017002249 |
Identifier | Type | State | Issuer |
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1871027763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 44SC05668700 (New Jersey) | Primary |
Provider Name | Victor Llerena |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043636632 PECOS PAC ID: 7214203306 Enrollment ID: I20171017002581 |
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