| Warren County Play Therapy, Llc | |
|
254 Mountain Ave Suite 4a Second Floor Hackettstown NJ 07840 | |
| (908) 892-6558 | |
| Not Available |
| Full Name | Warren County Play Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 254 Mountain Ave, Hackettstown, New Jersey |
| Authorized Official Name and Position | Amanda Mayberry (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9088926558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren County Play Therapy, Llc 254 Mountain Ave Suite 4a Second Floor Hackettstown NJ 07840 Ph: (908) 892-6558 | Warren County Play Therapy, Llc 254 Mountain Ave Suite 4a Second Floor Hackettstown NJ 07840 Ph: (908) 892-6558 |
| NPI Number | 1952156457 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952156457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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