| Institute For Practical Life | |
|
328 Denison Street Highland Park NJ 08904 | |
| (732) 610-5119 | |
| Not Available |
| Full Name | Institute For Practical Life |
|---|---|
| Speciality | Counselor |
| Location | 328 Denison Street, Highland Park, New Jersey |
| Authorized Official Name and Position | Jusleine C Daniel (CEO) |
| Authorized Official Contact | 7326105119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Practical Life Po Box 23 Edison NJ 08818 Ph: (732) 610-5119 | Institute For Practical Life 328 Denison Street Highland Park NJ 08904 Ph: (732) 610-5119 |
| NPI Number | 1699289157 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 6204246564 |
|---|---|
| Medicare Enrollment ID | O20201028000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699289157 | NPI | - | NPPES |
| 0601021 | Medicaid | NJ |
| Provider Name | Jusleine C Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912347147 PECOS PAC ID: 7810284338 Enrollment ID: I20160928000391 |
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