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Contact Information

COLLABORATIVE COUNSELING SERVICES, LLC
320 RARITAN AVE
SUITE 203
HIGHLAND PARK, NJ08904-2752
 Phone: 732-395-7351
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for COLLABORATIVE COUNSELING SERVICES, LLC

NPI # 1669919262
LBN Legal business name COLLABORATIVE COUNSELING SERVICES, LLC
Authorized official MARYBREEN O'CONNOR - (CLINICAL SOCIAL WORKER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/21/2017
Last updated 01/21/2017 - About 9 years ago
Identifiers
NJ License # 37PC00541600
NJ License # 44SC05708700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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