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Organization
MENTAL HEALTH ASSN OF ESSEX AND MORRIS
Active
Organization
MENTAL HEALTH ASSN OF ESSEX AND MORRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N DAVISON MA LPC (EXECUTIVE DIRECTOR)
(973) 509-9777
Entity
Organization
Contact information
Practice address
33 S FULLERTON AVE, MONTCLAIR, NJ 07042
(973) 509-9777
(973) 509-9218
Mailing address
33 S FULLERTON AVE, MONTCLAIR, NJ 07042-3358
(973) 509-9777
(973) 509-9218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
302090405
NJ
251B00000X
Case Management Agency
302090405
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017744
—
NJ
Enumeration date
05/12/2008
Last updated
08/06/2018
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