Organization
INSIGHTFUL MIND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY STEPHAN CORSON M.ED., L.P.C., N.C.C (OWNER/ CLINICIAN)
(973) 750-4111
Entity
Organization
Contact information
Practice address
36 MIDVALE RD, LOWER LEVEL 5, MOUNTAIN LAKES, NJ 07046-1353
(973) 750-4111
Mailing address
36 MIDVALE RD, LOWER LEVEL 5, MOUNTAIN LAKES, NJ 07046-1353
(973) 750-4111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00511900
NJ
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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