| Rebecca Gillespie Llc | |
|
70 Park St Ste 104 Montclair NJ 07042-2960 | |
| (848) 628-4027 | |
| (973) 233-1004 |
| Full Name | Rebecca Gillespie Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 70 Park St Ste 104, Montclair, New Jersey |
| Authorized Official Name and Position | Rebecca Gillespie (LICENSED MARRIAGE & FAMILY THERAPIS) |
| Authorized Official Contact | 8486284027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Gillespie Llc 70 Park St Ste 104 Montclair NJ 07042-2960 Ph: (848) 628-4027 | Rebecca Gillespie Llc 70 Park St Ste 104 Montclair NJ 07042-2960 Ph: (848) 628-4027 |
| NPI Number | 1609304278 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609304278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 37F100181900 (New Jersey) | Primary |
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