Provider Demographics
NPI:1033416839
Name:M.DRUCKER COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:M.DRUCKER COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DRUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPC
Authorized Official - Phone:908-468-1008
Mailing Address - Street 1:210 PALISADE RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-3833
Mailing Address - Country:US
Mailing Address - Phone:908-468-1008
Mailing Address - Fax:908-925-2897
Practice Address - Street 1:500 N WOOD AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4160
Practice Address - Country:US
Practice Address - Phone:908-468-1008
Practice Address - Fax:908-925-2897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00339900251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health