Organization
AVANCE THERAPEUTIC LEADERSHIP AND CONSULTATION SERVICES LLC
Active
Other names
Mental health Services
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN MOORE LCSW (OWNER)
(201) 303-6704
Entity
Organization
Contact information
Practice address
861 ROBINWOOD RD, TOWNSHIP OF WASHINGTON, NJ 07676-4244
(201) 303-6704
Mailing address
861 ROBINWOOD RD, TOWNSHIP OF WASHINGTON, NJ 07676-4244
(201) 303-6704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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