Organization Name: | COMPLETE COUNSELING SERVICES |
NPI Number: | 1588051502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON HEYMER (CLINICIAN) |
Mailing Address: | 4 Gold Mine Rd Flanders |
State: | NJ US |
Postal Code: | 078369122 |
Phone Number: | 9082855968 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00415700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |