Organization
EMPOWERING CHANGE MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GACCIONE LCSW (OWNER)
(973) 607-7593
Entity
Organization
Contact information
Practice address
103 TULSA TRL, HOPATCONG, NJ 07843-1236
(973) 607-7593
Mailing address
310 MAIN ST, HACKETTSTOWN, NJ 07840-2004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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