Organization
COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR BEREGNOI PHD LPC (CLINICAL DIRECTOR)
(201) 585-2477
Entity
Organization
Contact information
Practice address
2083 CENTER AVE SUITE 3H, FORT LEE, NJ 07024
(201) 585-2477
(201) 585-2807
Mailing address
2083 CENTER AVE SUITE 3H, FORT LEE, NJ 07024
(201) 585-2477
(201) 585-2807
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112305
—
NJ
Enumeration date
01/24/2007
Last updated
08/22/2020
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