| North Jersey Counseling Associates Llc | |
|
804 County Rt 517 Glenwood NJ 07418-1804 | |
| (973) 764-8845 | |
| Not Available |
| Full Name | North Jersey Counseling Associates Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 804 County Rt 517, Glenwood, New Jersey |
| Authorized Official Name and Position | Deborah L Kopko-vitale (PROVIDER) |
| Authorized Official Contact | 8455446330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Counseling Associates Llc 804 County Rt 517 Glenwood NJ 07418-1804 Ph: (973) 764-8845 | North Jersey Counseling Associates Llc 804 County Rt 517 Glenwood NJ 07418-1804 Ph: (973) 764-8845 |
| NPI Number | 1053776450 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053776450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 37PC00535800 (New Jersey) | Primary |
Jerri Shankler Msw Lcsw Lcadc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Valley Dr, Glenwood, NJ 07418 Phone: 201-452-1432 |