Organization
MS INTEGRATED PSYCHOTHERAPY AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL MONTERO (CEO)
(973) 341-9869
Entity
Organization
Contact information
Practice address
555 PREAKNESS AVE, TOTOWA, NJ 07502-1012
(973) 341-9869
(973) 942-6008
Mailing address
555 PREAKNESS AVE, TOTOWA, NJ 07502-1012
(973) 341-9869
(973) 942-6008
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
25MA04143600
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA04143600
NJ
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
26NJ00374300
NJ
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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