Organization
ESV
Active
Parent organization
EASTER SEASL NEW JERSEY INC.
Other names
Markell Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTER SEASL NEW JERSEY INC.
Authorized official
MR. MICHAEL DAVID RING LCSW, LCADC, CEAP (COO)
(732) 817-0103
Entity
Organization
Contact information
Practice address
25 KENNEDY BLVD, EAST BRUNSWICK, NJ 08816-1259
(732) 257-6662
(732) 257-5647
Mailing address
1118 CAMPUS DR, MORGANVILLE, NJ 07751-1261
(732) 817-0103
(732) 817-0105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00041500
NJ
101YP2500X
Professional Counselor
37PC00347400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04936900
NJ
Other
Enumeration date
03/11/2014
Last updated
11/30/2016
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