Organization
COLLABORATIVE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBREEN O'CONNOR (CLINICAL SOCIAL WORKER)
(732) 672-9815
Entity
Organization
Contact information
Practice address
320 RARITAN AVE, SUITE 203, HIGHLAND PARK, NJ 08904-2752
(732) 395-7351
Mailing address
320 RARITAN AVE, SUITE 203, HIGHLAND PARK, NJ 08904-2752
(732) 395-7351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00541600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05708700
NJ
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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