Organization Name: | KINDERKAMACK COUNSELING |
NPI Number: | 1285042630 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA MARTORANA (OWNER) |
Mailing Address: | 23 S Kinderkamack Rd Montvale |
State: | NJ US |
Postal Code: | 076452128 |
Phone Number: | 2019823846 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2014 |
NPI Last Update Date: | 07/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |