| Organization Name: | NORTH JERSEY COUNSELING ASSOCIATES LLC |
| NPI Number: | 1053776450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH L KOPKO-VITALE (PROVIDER) |
| Mailing Address: | 804 County Rt 517 Glenwood |
| State: | NJ US |
| Postal Code: | 074181804 |
| Phone Number: | 9737648845 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2015 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 37PC00535800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |