Organization
COOPERATIVE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY JONES (OPERATIONS MANAGER)
(908) 854-4651
Entity
Organization
Contact information
Practice address
1139 SPRUCE DRIVE, SUITE 2, MOUNTAINSIDE, NJ 07092
(908) 731-7099
(908) 731-7102
Mailing address
1139 SPRUCE DRIVE, SUITE 2, MOUNTAINSIDE, NJ 07092
(908) 731-7099
(908) 731-7102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269484
—
NJ
Enumeration date
09/16/2011
Last updated
03/01/2023
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