Organization
AGCC PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AMOROSO LCSW (CEO/SOLE OWNER)
(908) 370-7797
Entity
Organization
Contact information
Practice address
2231 MORRISON AVE, UNION, NJ 07083-5238
(908) 370-7797
Mailing address
2231 MORRISON AVE, UNION, NJ 07083-5238
(908) 370-7797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05292600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURTITY #
NJ
Enumeration date
05/27/2006
Last updated
08/22/2020
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