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Organization
CIS COUNSELING CENTER INC
Active
Organization
CIS COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA PESKIN LCSW (EXECUTIVE DIRECTOR)
(212) 385-0086
Entity
Organization
Contact information
Practice address
116 JOHN ST, 27TH FLOOR, NEW YORK, NY 10038-3300
(212) 385-0086
(212) 732-0757
Mailing address
116 JOHN ST, 27TH FLOOR, NEW YORK, NY 10038-3300
(212) 385-0086
(212) 732-0757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01082397
—
NY
Enumeration date
12/21/2006
Last updated
07/09/2008
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