Organization
EVOLUTION COUNSELING SUITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN WILSON LCSW (OWNER/CEO/PRINCIPAL PSYCHOTHERAPIST)
(201) 279-1967
Entity
Organization
Contact information
Practice address
8 CAMPUS DR STE 105, PARSIPPANY, NJ 07054-4409
(201) 279-1967
Mailing address
PO BOX 277, ELMWOOD PARK, NJ 07407-0277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
08/10/2024
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