Organization
CLEAR CONSCIENCE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GORE LPC, LCADC (EXECUTIVE DIRECTOR)
(973) 454-6711
Entity
Organization
Contact information
Practice address
2509 PARK AVE STE 2B, SOUTH PLAINFIELD, NJ 07080-5369
(973) 435-2881
(732) 756-1021
Mailing address
21 BRANDYWINE CIR, PISCATAWAY, NJ 08854-2704
(973) 454-6711
(732) 756-1021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37PC00590800
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
37LC00233200
NJ
Other
Enumeration date
10/18/2017
Last updated
10/18/2019
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