Mountain Lakes Psychotherapy, LLC
Community/Behavioral Health in Mountain Lakes, NJ. Organization (NPI-2).
NPI number1669943528
StatusActive
Last updated in NPPESDec 17, 2018
Details
- NPI
- 1669943528
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Lakes Psychotherapy, LLC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2018
- Last updated
- Dec 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
420 Boulevard Ste 109Mountain Lakes, NJ 07046-1733
Phone 201-710-4311 · Fax 973-588-4655
Mailing address
420 Boulevard Ste 109Mountain Lakes, NJ 07046-1733
Phone 201-710-4311 · Fax 973-588-4655
Authorized official
Joanne R. Vannest
Psychologist/Owner
2017104311
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