Mpdc
NPI #1942748694 in Montclair, New Jersey
Provider Information
- NPI Number
- 1942748694
- Entity Type
- Organization
- Organization Name
- Mpdc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Feb 2, 2017
- Last Updated
- Feb 2, 2017
Practice Location
- Address
- 5 ROOSEVELT PL STE B2
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3366
- Phone
- (973) 744-5571
Authorized Official
- Name
- MR. LEWIS C PAGANO, LPC
- Title
- COUNSELOR
- Phone
- (973) 744-5571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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