Healthcare Provider Details

I. General information

NPI: 1932228194
Provider Name (Legal Business Name): AMERICAN INSTITUTE FOR COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 ROUTE 22 EAST
BOUND BROOK NJ
08805
US

IV. Provider business mailing address

1952 ROUTE 22 EAST
BOUND BROOK NJ
08805
US

V. Phone/Fax

Practice location:
  • Phone: 732-469-6444
  • Fax: 732-469-6445
Mailing address:
  • Phone: 732-469-6444
  • Fax: 732-469-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY DANCO
Title or Position: DIRECTOR
Credential: PSYD
Phone: 732-469-6444