Organization
BURKE AND UNGER LIFEWORKS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA UNGER M.S.W. (COFOUNDER)
(973) 930-5507
Entity
Organization
Contact information
Practice address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 441-0886
(973) 860-1326
Mailing address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 441-0886
(973) 860-1326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00041300
NJ
1041C0700X
Clinical Social Worker
44SC05494400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053835
MEDICARE PTAN
NJ
01
—
053835YHEQ
GROUP PTAN:
NJ
Enumeration date
05/25/2011
Last updated
01/29/2013
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