| Spectrum Counseling Solutions, Llc | |
|
248 Broad St Suite B Red Bank NJ 07701-2020 | |
| (973) 568-1166 | |
| (732) 957-9119 |
| Full Name | Spectrum Counseling Solutions, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 248 Broad St, Red Bank, New Jersey |
| Authorized Official Name and Position | Lisa A. Leidecker (MANAGING MEMBER) |
| Authorized Official Contact | 9735681166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Counseling Solutions, Llc 248 Broad St Suite B Red Bank NJ 07701-2020 Ph: (973) 568-1166 | Spectrum Counseling Solutions, Llc 248 Broad St Suite B Red Bank NJ 07701-2020 Ph: (973) 568-1166 |
| NPI Number | 1689801219 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 06/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689801219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00057200 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00020000 (New Jersey) | Primary |
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