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Organization
ON YOUR MARK TEEN COUNSELING CENTER, LLC
Active
Organization
ON YOUR MARK TEEN COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA PAPASSO LCSW (OWNER/DIRECTOR)
(973) 885-3712
Entity
Organization
Contact information
Practice address
605 VALLEY RD STE 4, UPPER MONTCLAIR, NJ 07043-1455
(973) 746-2500
(973) 746-2502
Mailing address
PO BOX 43701, UPPER MONTCLAIR, NJ 07043-0701
(973) 746-2500
(973) 746-2502
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861737421
NPI
NJ
Enumeration date
01/23/2019
Last updated
01/23/2019
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