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NPI Code Detail

MEDICARE: MONARCH COUNSELING CENTER LLC

MEDICARE: MONARCH COUNSELING CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1982426417
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONARCH COUNSELING CENTER LLC
Provider Business Mailing Address
First Line : 33 SICOMAC RD STE 305
Second Line :
City : NORTH HALEDON
State : NJ
Zip : 07508-2954
Country : US
Telephone Number : 201-669-5411
Fax Number :
Provider Business Practice Location Address
First Line : 33 SICOMAC RD STE 305
Second Line :
City : NORTH HALEDON
State : NJ
Zip : 07508-2954
Country : US
Telephone Number : 201-669-5411
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : KAITLYNN ELIZABETH AZNER
Credential :
Telephone Number : 201-669-5411
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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Directions to “MONARCH COUNSELING CENTER LLC ” Practice Location

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