Organization
COUNSELING AND WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J ECONOMOU PHD (DIRECTOR, CEO)
(866) 369-1090
Entity
Organization
Contact information
Practice address
450 7TH ST., LL5, HOBOKEN, NJ 07030
(866) 369-1090
(866) 369-2140
Mailing address
450 7TH ST STE LL5, HOBOKEN, NJ 07030-2079
(866) 369-1090
(866) 369-2140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578883146
—
NJ
Enumeration date
11/20/2017
Last updated
03/17/2018
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