Organization
BERGEN PSYCHOTHERAPY PRACTICE
Active
Organization
BERGEN PSYCHOTHERAPY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOON EUI LEE SR. LPC (EXCUTIVE DIRECTOR)
(201) 240-8043
Entity
Organization
Contact information
Practice address
121 CEDAR LANE, SUITE 3D, TEANECK, NJ 07666
(201) 240-8043
(201) 648-2044
Mailing address
121 CEDAR LN, SUITE 3D, TEANECK, NJ 07666-4457
(201) 240-8043
(201) 648-2044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00332400
NJ
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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