| Second Chance Mental Health Counseling | |
|
185 Main St Apt A Cliffside Park NJ 07010-1249 | |
| (717) 475-2907 | |
| Not Available |
| Full Name | Second Chance Mental Health Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 185 Main St Apt A, Cliffside Park, New Jersey |
| Authorized Official Name and Position | Ansimon Elia Botrous Rezk (CLINICIAN) |
| Authorized Official Contact | 7174752907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Mental Health Counseling 185 Main St Apt A Cliffside Park NJ 07010-1249 Ph: (717) 475-2907 | Second Chance Mental Health Counseling 185 Main St Apt A Cliffside Park NJ 07010-1249 Ph: (717) 475-2907 |
| NPI Number | 1811751035 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811751035 | NPI | - | NPPES |
| 1548756687 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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