Organization
HEALING ROAD COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUDELKA COLUMNA-GRAJEWSKI LCSW (OWNER)
(215) 688-5116
Entity
Organization
Contact information
Practice address
101 MOUNTAIN CT STE 101B, HACKETTSTOWN, NJ 07840-2300
(215) 688-5116
Mailing address
101 MOUNTAIN CT STE 101B, HACKETTSTOWN, NJ 07840-2300
(215) 688-5116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05843800
LICENSE NUMBER
NJ
Enumeration date
06/18/2019
Last updated
10/30/2019
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