Organization
MIND MENDERS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CAMACHO MA, LPC, NCC (CO-FOUNDER, REGISTERED AGENT)
(917) 747-0097
Entity
Organization
Contact information
Practice address
205 DUPONT AVE, HOPATCONG, NJ 07843-1786
(917) 747-0097
Mailing address
205 DUPONT AVE, HOPATCONG, NJ 07843-1786
(917) 747-0097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00599200
NJ
101YP2500X
Professional Counselor
Primary
37PC00599200
NJ
1041C0700X
Clinical Social Worker
44SL06154300
NJ
1041C0700X
Clinical Social Worker
44SL06205800
NJ
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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