MEDICARE: COMPREHENSIVE COUNSELING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1821446311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE COUNSELING CENTER, LLC

Provider Business Mailing Address
First Line	:	2340 ROUTE 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-4016
Country	:	US
Telephone Number	:	732-987-9770
Fax Number	:	732-987-9769

Provider Business Practice Location Address
First Line	:	2340 ROUTE 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-4016
Country	:	US
Telephone Number	:	732-987-9770
Fax Number	:	732-987-9769

Authorized Official
Title or Position	:	PARTNER
Name	:	TONI NOKES
Credential	:	MSW, LCSW
Telephone Number	:	732-987-9770

Provider Enumeration Date	:	05/25/2016
Last Update Date	:	12/07/2023

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