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General NPI Number Information
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NPI Number | 1851667737
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY COUNSELING SERVICES
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 192 3RD AVE SUITE 15 C
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City | WESTWOOD
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State | NJ
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Zip | 07675-2154
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Country | US
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Telephone | 201-655-9433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | RIDGEWOOD
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State | NJ
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Zip | 07451-0035
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | MRS. MARY ANNE LOUIS
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Credential | LPC
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Telephone | 201-655-9433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 37PC00395400
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License Number State | NJ
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