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Organization
THE IN-HOME PARENT COACH, LLC
Active
Organization
THE IN-HOME PARENT COACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON JOHNSON LCSW (SINGLE MANAGING MEMBER)
(201) 315-4151
Entity
Organization
Contact information
Practice address
151 W PASSAIC ST FL 2, ROCHELLE PARK, NJ 07662-3105
(201) 315-4151
(201) 300-6109
Mailing address
151 W PASSAIC ST FL 2, ROCHELLE PARK, NJ 07662-3105
(201) 315-4151
(201) 300-6109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357674930
—
NJ
05
—
1861867004
—
NJ
Enumeration date
10/17/2018
Last updated
10/17/2018
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