| Dominick J. Demsak Lpc, Llc | |
|
2 Fawn Lake Rd Stockholm NJ 07460-1424 | |
| (973) 919-3795 | |
| Not Available |
| Full Name | Dominick J. Demsak Lpc, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 Fawn Lake Rd, Stockholm, New Jersey |
| Authorized Official Name and Position | Dominick J Demsak (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9739193795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominick J. Demsak Lpc, Llc 2 Fawn Lake Rd Stockholm NJ 07460-1424 Ph: (973) 919-3795 | Dominick J. Demsak Lpc, Llc 2 Fawn Lake Rd Stockholm NJ 07460-1424 Ph: (973) 919-3795 |
| NPI Number | 1336928548 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336928548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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