| Courageous Therapy Nj | |
|
350 W Passaic St Ste 4 Rochelle Park NJ 07662-3000 | |
| (973) 282-6299 | |
| (855) 325-9859 |
| Full Name | Courageous Therapy Nj |
|---|---|
| Speciality | Counselor - Professional |
| Location | 350 W Passaic St Ste 4, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Joseph Quispe (CBO) |
| Authorized Official Contact | 9739419640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Therapy Nj 350 W Passaic St Ste 4 Rochelle Park NJ 07662-3000 Ph: (973) 941-9640 | Courageous Therapy Nj 350 W Passaic St Ste 4 Rochelle Park NJ 07662-3000 Ph: (973) 282-6299 |
| NPI Number | 1528563475 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528563475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00578300 (New Jersey) | Primary |
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