Organization
TALKORB LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MAGGIO JR. MA, LCADC, LPC, CCS (CEO)
(551) 497-1964
Entity
Organization
Contact information
Practice address
415 LAUREL BROOK RD, MONTVALE, NJ 07645-1746
(551) 497-1964
Mailing address
415 LAUREL BROOK RD, MONTVALE, NJ 07645-1746
(551) 497-1964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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