| Kristin Korab-reynolds Llc | |
|
303 Claremont Ave Fl 2 Montclair NJ 07042-2813 | |
| (201) 591-5371 | |
| (973) 638-1829 |
| Full Name | Kristin Korab-reynolds Llc |
|---|---|
| Speciality | Counselor |
| Location | 303 Claremont Ave Fl 2, Montclair, New Jersey |
| Authorized Official Name and Position | Kristin Korab-reynolds (LCSW) |
| Authorized Official Contact | 2015915371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Korab-reynolds Llc Po Box 656 Essex Fells NJ 07021-0656 Ph: (201) 591-5371 | Kristin Korab-reynolds Llc 303 Claremont Ave Fl 2 Montclair NJ 07042-2813 Ph: (201) 591-5371 |
| NPI Number | 1316458698 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 2163780040 |
|---|---|
| Medicare Enrollment ID | O20171226000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316458698 | NPI | - | NPPES |
| 0613801 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 44SCO5302900 (New Jersey) | Primary |
| Provider Name | Kristin A Korab Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083791735 PECOS PAC ID: 3375683337 Enrollment ID: I20091223000031 |
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