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Organization

AIRMID COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD A BARAKA MA, LCADC (GENERAL PARTNER/ CLINICIAN)
(973) 678-0550
Entity
Organization

Contact information

Practice address
137 EVERGREEN PL, SUITE 2D, EAST ORANGE, NJ 07018-2005
(973) 678-0550
(973) 678-1177
Mailing address
137 EVERGREEN PL, SUITE 2D, EAST ORANGE, NJ 07018-2005
(973) 678-0550
(973) 678-1177

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/27/2010
Last updated
01/27/2010
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