Organization
BERGEN MENTAL HEALTH COUNSELING OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN KATHRYN WALPOLE LPC (OWNER)
(201) 707-1796
Entity
Organization
Contact information
Practice address
70 MIDLAND AVE, 71 FRANKLIN TURNPIKE, WYCKOFF, NJ 07481-3344
(201) 707-1796
Mailing address
70 MIDLAND AVE, WYCKOFF, NJ 07481-3344
(201) 707-1796
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00454500
NJ
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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