Organization
NORTH JERSEY COUNSELING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH L KOPKO-VITALE LPC (PROVIDER)
(845) 544-6330
Entity
Organization
Contact information
Practice address
804 COUNTY RT 517, GLENWOOD, NJ 07418-1804
(973) 764-8845
Mailing address
804 COUNTY RT 517, GLENWOOD, NJ 07418-1804
(973) 764-8845
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37PC00535800
NJ
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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