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Organization
MINDFUL INTENTIONS
Active
Organization
MINDFUL INTENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PICHARDO LCSW (CLINICAL EXECUTIVE DIRECTOR)
(973) 289-9208
Entity
Organization
Contact information
Practice address
1341 HAMBURG TPKE STE 1-5, WAYNE, NJ 07470-4042
(973) 250-8265
Mailing address
432 BOULEVARD, POMPTON PLAINS, NJ 07444-1032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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