Organization
PREMIER COUNSELING & CONSULTING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASAN JOHNSON MSW, LCSW (EXECUTIVE DIRECTOR)
(732) 579-3477
Entity
Organization
Contact information
Practice address
302 RIVENDELL WAY, EDISON, NJ 08817-2008
(732) 579-3477
Mailing address
302 RIVENDELL WAY, EDISON, NJ 08817-2008
(732) 579-3477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048810
—
NJ
Enumeration date
05/11/2007
Last updated
08/22/2020
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