Organization
INNER IMAGE COUNSELING & CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN DAVIS-COTTLE LCSW (CEO)
18666202323
Entity
Organization
Contact information
Practice address
90 VALLEY WAY, WEST ORANGE, NJ 07052-5833
(186) 662-0232
Mailing address
2130 MILLBURN AVE, SUITE D, MAPLEWOOD, NJ 07040-3725
(186) 662-0232
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05642500
NJ
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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