Organization
BREAKING THE CHAIN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL P PITZER LCSW, LCADC (PRESIDENT)
(732) 298-0301
Entity
Organization
Contact information
Practice address
295 MAIN ST, 2 FL, CHATHAM, NJ 07928-2424
(732) 298-0301
Mailing address
651 MONMOUTH AVE, PORT MONMOUTH, NJ 07758-1517
(732) 298-0301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05185500
NJ
1041C0700X
Clinical Social Worker
44SC05185600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179291
MEDICARE PTAN
NJ
Enumeration date
12/22/2006
Last updated
07/16/2014
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