Healthcare Provider Details

I. General information

NPI: 1174853998
Provider Name (Legal Business Name): FRANCISCARE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 MARKET ST SUITE 103
ELMWOOD PARK NJ
07407-3126
US

IV. Provider business mailing address

475 MARKET ST SUITE 103
ELMWOOD PARK NJ
07407-3126
US

V. Phone/Fax

Practice location:
  • Phone: 201-791-1499
  • Fax: 201-791-3529
Mailing address:
  • Phone: 201-791-1499
  • Fax: 201-791-3529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberSI01593
License Number StateNJ

VIII. Authorized Official

Name: DR. JAMES PATRICK KELLY
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 201-791-1499