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IRVINGTON COUNSELING CENTER, INC.

Addiction Substance Use Disorder

Irvington, New Jersey

Provider NPI: 1356377113

Organization Information:
Organization Name:  IRVINGTON COUNSELING CENTER, INC.
Organization is not Subpart
Authorized Official:  NORMA ANNE HANSON  EXECUTIVE DIRECTOR  973-3993132

Practice Location:
21-29 WAGNER PLACE  IRVINGTON, NJ 07111 US
Tel: 973-399-3132  Fax: 973-399-7552

Business Mailing Address:
21-29 WAGNER PLACE  IRVINGTON, NJ 07111 US
Tel: 973-399-3132  Fax: 973-399-7552

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101Y00000XBehavioral Health & Social Service Providers
Counselor
NJ
X101YA0400XBehavioral Health & Social Service Providers
Counselor
NJ
X104100000XBehavioral Health & Social Service Providers
Social Worker
NJ
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
NJ
X2084P0800XPhysicians
Psychiatry & Neurology
NJ

Other Provider Identifiers:

IssuerNumberStateType
0007803NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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