Unknown Individual – Professional Counselor, NPI 1104865773
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11, Mountain Avenue, Brookdale, Bloomfield, Essex County, New Jersey, 07003, United States
SUITE 305
BLOOMFIELD, CT 060022343
Phone: (860) 836-5125
Fax: (860) 243-8488
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06002)
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