Organization
SHERRY BLAIR INSTITUTE FOR INSPIRATIONAL CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY ANN BLAIR LCSW, BCPC (OWNER)
(973) 746-0333
Entity
Organization
Contact information
Practice address
80 PARK ST, MONTCLAIR, NJ 07042
(973) 746-0333
(973) 746-1533
Mailing address
216 WALNUT ST, MONTCLAIR, NJ 07042-2926
(973) 943-6356
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032484
—
NJ
Enumeration date
09/10/2008
Last updated
06/04/2018
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