| Main St Counseling Center | |
|
8 Marcella Ave West Orange NJ 07052-4164 | |
| (973) 736-2041 | |
| (973) 669-9683 |
| Full Name | Main St Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 Marcella Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Mary P Duguid (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9737362041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main St Counseling Center 8 Marcella Ave West Orange NJ 07052-4164 Ph: (973) 736-2041 | Main St Counseling Center 8 Marcella Ave West Orange NJ 07052-4164 Ph: (973) 736-2041 |
| NPI Number | 1720417876 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720417876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SL05560300 (New Jersey) | Primary |
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