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Organization
COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY
Active
Organization
COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR BEREGNOI PHD LPC (CLINICAL DIRECTOR)
(201) 585-2477
Entity
Organization
Contact information
Practice address
2083 CENTER AVE SUITE 3H, FORT LEE, NJ 07024
(201) 585-2477
(201) 585-2807
Mailing address
2083 CENTER AVE SUITE 3H, FORT LEE, NJ 07024
(201) 585-2477
(201) 585-2807
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112305
—
NJ
Enumeration date
01/24/2007
Last updated
08/22/2020
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