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Organization

NJ COUNSELING, TRAINING, AND CONSULTATION GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL M LEVINE LCSW,LPC,LCADC,LMFT (THERAPIST)
(201) 259-7229
Entity
Organization

Contact information

Practice address
280 BLOOMFIELD AVE, VERONA, NJ 07044-2426
(201) 259-7229
Mailing address
280 BLOOMFIELD AVE, VERONA, NJ 07044-2426
(201) 259-7229

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
37LC00057400
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
37FL00160300
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
37PC00047500
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
44SC05174000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101034BMX
MEDICARE PROVIDER #
NJ
Enumeration date
05/08/2009
Last updated
05/08/2009
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