| Positive Change Counseling Llc | |
|
88 Park St Montclair NJ 07042-5915 | |
| (862) 216-0254 | |
| (973) 233-4473 |
| Full Name | Positive Change Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 88 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | Jeffrey Hugues (OWNER) |
| Authorized Official Contact | 8622160254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Change Counseling Llc 88 Park St Montclair NJ 07042-5915 Ph: (862) 216-0254 | Positive Change Counseling Llc 88 Park St Montclair NJ 07042-5915 Ph: (862) 216-0254 |
| NPI Number | 1164925905 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164925905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05389000 (New Jersey) | Primary |
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