Organization
MAIN ST COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY P DUGUID LCSW (CLINICAL DIRECTOR)
(973) 736-2041
Entity
Organization
Contact information
Practice address
8 MARCELLA AVE, WEST ORANGE, NJ 07052-4164
(973) 736-2041
(973) 669-9683
Mailing address
8 MARCELLA AVE, WEST ORANGE, NJ 07052-4164
(973) 736-2041
(973) 669-9683
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SL05560300
NJ
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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