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Organization
NEW LIFE COUNSELING AND MENTAL HEALTH SERVICES
Active
Organization
NEW LIFE COUNSELING AND MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES IDRIS WEBB LCSW (LINCENSED CLINCAL SOCIAL WORKER)
(973) 748-0847
Entity
Organization
Contact information
Practice address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(973) 748-0847
Mailing address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(973) 748-0847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00472100
NJ
101YM0800X
Mental Health Counselor
44SC00854200
NJ
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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