Organization
CLEAR CONSCIENCE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GORE MHS, LPC, LCADC (EXECUTIVE DIRECTOR)
(973) 454-6711
Entity
Organization
Contact information
Practice address
2509 PARK AVE STE 2B, SOUTH PLAINFIELD, NJ 07080-5369
(973) 454-6711
Mailing address
2509 PARK AVE STE 2B, SOUTH PLAINFIELD, NJ 07080-5369
(973) 454-6711
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
37LC00233200
NJ
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/27/2017
Last updated
10/18/2019
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