| Johnson And Associates Counseling And Consultation Group Pc | |
|
220 S Harrison St Ste A East Orange NJ 07018-1401 | |
| (973) 677-7053 | |
| (973) 677-7050 |
| Full Name | Johnson And Associates Counseling And Consultation Group Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 220 S Harrison St Ste A, East Orange, New Jersey |
| Authorized Official Name and Position | Thomas Johnson (PRESIDENT CEO) |
| Authorized Official Contact | 9736777053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson And Associates Counseling And Consultation Group Pc 220 S Harrison St Ste A East Orange NJ 07018-1401 Ph: (973) 677-7053 | Johnson And Associates Counseling And Consultation Group Pc 220 S Harrison St Ste A East Orange NJ 07018-1401 Ph: (973) 677-7053 |
| NPI Number | 1437289402 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437289402 | NPI | - | NPPES |
| 0078093 | Medicaid | NJ | |
| 0067555 | Medicaid | NJ | |
| 0122661 | Medicaid | NJ | |
| 0062359 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Jersey) | Primary |
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