Organization
HERO COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ACOSTA LCSW (OWNER)
(201) 255-7925
Entity
Organization
Contact information
Practice address
47 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3868
(201) 255-7925
(201) 540-8076
Mailing address
167 PAGE ST, ELMWOOD PARK, NJ 07407-1157
(973) 202-1357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780075663
—
NJ
Enumeration date
02/20/2020
Last updated
02/20/2020
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