| Innovative Counseling Llc | |
| 101 Park St Montclair NJ 07042-2963 | |
| (973) 744-4300 | |
| Not Available | 
| Full Name | Innovative Counseling Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 101 Park St, Montclair, New Jersey | 
| Authorized Official Name and Position | Amy Kruvant (PRESIDENT) | 
| Authorized Official Contact | 9737444300 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Innovative Counseling Llc 11 Blackberry Ln North Caldwell NJ 07006-4170 Ph: (973) 744-4300 | Innovative Counseling Llc 101 Park St Montclair NJ 07042-2963 Ph: (973) 744-4300 | 
| NPI Number | 1033350921 | 
|---|---|
| Provider Enumeration Date | 03/23/2009 | 
| Last Update Date | 03/23/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033350921 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
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