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Organization
KINDRED HAVEN COUNSELING, LLC
Active
Organization
KINDRED HAVEN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE LERVA MOISE LPC, NCC (OWNER/THERAPIST)
(973) 664-7604
Entity
Organization
Contact information
Practice address
25 POMPTON AVE STE 101, VERONA, NJ 07044-2938
(973) 664-7604
Mailing address
25 POMPTON AVE STE 101, VERONA, NJ 07044-2938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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