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103 Briar Hills Cir Springfield NJ 07081-3421 | |
| (973) 902-7445 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 103 Briar Hills Cir, Springfield, New Jersey |
| Authorized Official Name and Position | Michael Loupis (COUNSELOR) |
| Authorized Official Contact | 9739027445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5 Springfield NJ 07081-0005 Ph: (973) 902-7445 | 103 Briar Hills Cir Springfield NJ 07081-3421 Ph: (973) 902-7445 |
| NPI Number | 1922500743 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922500743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00623000 (New Jersey) | Primary |
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