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415 Speedwell Ave Morris Plains NJ 07950-2100 | |
| (973) 525-7797 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 415 Speedwell Ave, Morris Plains, New Jersey |
| Authorized Official Name and Position | Gail Rachel Lalk (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9735257797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
24 Terry Dr Morristown NJ 07960-4713 Ph: (973) 525-7797 | 415 Speedwell Ave Morris Plains NJ 07950-2100 Ph: (973) 525-7797 |
| NPI Number | 1477938363 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477938363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00220900 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00448600 (New Jersey) | Primary |
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