Wellsprings Counseling Center, LLC
NPI #1285844050 in Fair Lawn, New Jersey
Provider Information
- NPI Number
- 1285844050
- Entity Type
- Organization
- Organization Name
- Wellsprings Counseling Center, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 23, 2007
- Last Updated
- May 6, 2013
Practice Location
- Address
- 22-08 STATE RT 208
- Address 2
- SUITE 16
- City
- Fair Lawn
- State
- New Jersey
- ZIP Code
- 07410-2609
- Phone
- (201) 956-6363
Authorized Official
- Name
- LISA PRO-MENNER, MCSW
- Title
- PRESIDENT
- Phone
- (201) 956-6363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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