Innovative Counseling LLC

NPI #1033350921 in Montclair, New Jersey

Provider Information

NPI Number: 1033350921
Entity Type: Organization
Organization Name: Innovative Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 23, 2009
Last Updated: Mar 23, 2009

Practice Location

Address: 101 PARK ST
City: Montclair
State: New Jersey
ZIP Code: 07042-2963
Phone: (973) 744-4300

Authorized Official

Name: AMY KRUVANT
Title: PRESIDENT
Phone: (973) 744-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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