Organization
AFFILIATES IN CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL K WARE LPC, NCC-BC (OWNER/DIRECTOR)
(908) 454-7244
Entity
Organization
Contact information
Practice address
305 ROSEBERRY ST, SUITE 8, PHILLIPSBURG, NJ 08865-1600
(908) 454-7244
(908) 859-2109
Mailing address
305 ROSEBERRY ST, SUITE 8, PHILLIPSBURG, NJ 08865-1600
(908) 454-7244
(908) 859-2109
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
552515000
MAGELLAN
NJ
Enumeration date
12/16/2005
Last updated
02/13/2012
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