Organization
COOPERATIVE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE KIRSTEN MOORMAN LCSW (CEO)
(908) 577-0818
Entity
Organization
Contact information
Practice address
1139 SPRUCE DR STE 2, MOUNTAINSIDE, NJ 07092-2221
(908) 731-7099
(908) 731-7102
Mailing address
1139 SPRUCE DR STE 2, MOUNTAINSIDE, NJ 07092-2221
(908) 731-7099
(908) 731-7102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SCO4843600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087751
—
NJ
Enumeration date
03/13/2007
Last updated
03/26/2019
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