Organization Name: | ANDREACH & PAULSEN COUNSELING GROUP |
NPI Number: | 1003163452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON MICHAEL ANDREACH (CLINICAL THERAPIST) |
Mailing Address: | 2424 Bridge Ave Suite 4 Point Pleasant Boro |
State: | NJ US |
Postal Code: | 087424335 |
Phone Number: | 7329037012 |
Fax Number: | 7329037135 |
NPI Enumeration Date: | 08/03/2012 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04571500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |