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General NPI Number Information
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NPI Number | 1679997126
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Entity Type | Organization
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Legal Business Name | MORRIS COUNTY COUNSELING CENTER
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 147 COLUMBIA TURNPIKE SUITE 307
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City | FLORHAM PARK
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State | NJ
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Zip | 07932
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Country | US
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Telephone | 908-419-5712
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Fax |
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Provider Business Mailing Address
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Address Line | 95 W 13TH ST 1 FLOOR
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City | BAYONE
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State | NJ
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Zip | 07002
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Country | US
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Telephone | 908-419-5712
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BRIAN NANDY
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Credential | LPC
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Telephone | 908-419-5712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00350300
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License Number State | NJ
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