Organization
COURAGE IN TIME COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN N DEGROOT LCSW (THERAPIST/FOUNDER)
(908) 268-0074
Entity
Organization
Contact information
Practice address
73 PARK ST, MONTCLAIR, NJ 07042-2903
(908) 268-0074
Mailing address
73 PARK ST, MONTCLAIR, NJ 07042-2903
(908) 268-0074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05718600
NJ
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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