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General NPI Number Information
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NPI Number | 1366883258
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Entity Type | Organization
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Legal Business Name | ESSEX COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 311 CLAREMONT AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2240
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Country | US
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Telephone | 201-468-1863
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Fax |
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Provider Business Mailing Address
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Address Line | 311 CLAREMONT AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2240
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Country | US
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Telephone | 201-468-1863
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JENNIFER CASTLES
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Credential |
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Telephone | 201-468-1863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | NJ
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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 |
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License Number State | NJ
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