Healthcare Provider Details

I. General information

NPI: 1740497205
Provider Name (Legal Business Name): FREEHOLD COMMUNITY COUNSELING SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 JACKSON MILL ROAD
FREEHOLD NJ
07728-3099
US

IV. Provider business mailing address

30 JACKSON MILL ROAD
FREEHOLD NJ
07728-3099
US

V. Phone/Fax

Practice location:
  • Phone: 732-409-6260
  • Fax:
Mailing address:
  • Phone: 732-409-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: DENNIS MAKAROWSKI
Title or Position: DIRECTOR
Credential: LCSW,LCADC
Phone: 732-409-6260