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Organization
CESSWELL LLC
Active
Organization
CESSWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS MAGGIO JR. LCADC, LAC (DIRECTOR)
(551) 497-1964
Entity
Organization
Contact information
Practice address
415 LAUREL BROOK RD., MONTVALE, NJ 07645
(551) 497-1964
Mailing address
175 KINDERKAMACK RD # 1011, PARK RIDGE, NJ 07656-1335
(551) 497-1964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
01/28/2022
Last updated
02/03/2022
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