Organization
BERGEN MENTAL HEALTH COUNSELING OF NEW JERSEY LLC
Active
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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