Organization
PRACTICAL THERAPY NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE HEINIS LPC (LPC/OWNER)
(201) 389-6115
Entity
Organization
Contact information
Practice address
550 W MAIN ST, BOONTON, NJ 07005
(201) 214-5725
(866) 282-5725
Mailing address
PO BOX 528, CHESTER, NJ 07930-0528
(201) 214-5725
(866) 282-5098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00518800
NJ
101YP2500X
Professional Counselor
Primary
37PC00518800
NJ
Other
Enumeration date
01/25/2018
Last updated
06/13/2018
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