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General NPI Number Information
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NPI Number | 1063491967
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Entity Type | Organization
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Legal Business Name | WAYNE COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1022 HAMBURG TURNPIKE
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City | WAYNE
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State | NJ
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Zip | 07470-3209
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Country | US
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Telephone | 973-694-1234
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Fax | 973-633-0992
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Provider Business Mailing Address
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Address Line | 1022 HAMBURG TURNPIKE
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City | WAYNE
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State | NJ
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Zip | 07470-3209
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Country | US
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Telephone | 973-694-1234
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Fax | 973-633-0992
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JANE WILLENBORG
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Credential | LPC, LCADC
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Telephone | 973-694-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 41642
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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