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General NPI Number Information
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NPI Number | 1386262277
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Entity Type | Organization
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Legal Business Name | THE GREATER ZEN COUNSELING & WELLNESS HOUSE
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 377 VALLEY RD # 1057
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City | CLIFTON
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State | NJ
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Zip | 07013-1319
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Country | US
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Telephone | 908-477-9288
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Fax |
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Provider Business Mailing Address
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Address Line | 377 VALLEY RD # 1057
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City | CLIFTON
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State | NJ
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Zip | 07013-1319
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Country | US
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Telephone | 908-477-9288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NKEMDILIM S OKAKPU
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Credential | PHD, LPC, NCC
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Telephone | 908-477-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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