Organization
BREAKTHROUGH PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE M VACCARO LCSW (HEALTHCARE PROVIDER)
(973) 857-5121
Entity
Organization
Contact information
Practice address
301 SOUTH LIVINGSTON AVENUE, LIVINGSTON, NJ 07039-3932
(973) 857-5121
Mailing address
16 BRENTWOOD DRIVE, VERONA, NJ 07044-2519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05162000
NJ
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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