| Packanack Counseling Center | |
|
134 Chestnut Dr Wayne NJ 07470-5602 | |
| (973) 696-4016 | |
| (973) 696-4016 |
| Full Name | Packanack Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 134 Chestnut Dr, Wayne, New Jersey |
| Authorized Official Name and Position | Miriam Judith Toonkel (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9736964016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Packanack Counseling Center 134 Chestnut Dr Wayne NJ 07470-5602 Ph: (973) 696-4016 | Packanack Counseling Center 134 Chestnut Dr Wayne NJ 07470-5602 Ph: (973) 696-4016 |
| NPI Number | 1427355973 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427355973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00450800 (New Jersey) | Primary |
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