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Organization
MOVING ON LFE CENTER
Active
Organization
MOVING ON LFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CARLOS JR. LPC (EXECUTIVE DIRECTOR)
(201) 837-8590
Entity
Organization
Contact information
Practice address
121 CEDAR LANE, SUITE 101, TEANECK, NJ 07666-6116
(201) 837-8590
(201) 837-8593
Mailing address
121 CEDAR LN, SUITE 101, TEANECK, NJ 07666-4457
(201) 837-8590
(201) 837-8593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00024900
NJ
Other
Enumeration date
11/11/2006
Last updated
09/28/2015
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