Provider Demographics
NPI:1912182098
Name:CDR COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:CDR COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/SOLE MEMBER
Authorized Official - Prefix:PROF
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:REEG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-398-1718
Mailing Address - Street 1:6 RALEIGH WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1700
Mailing Address - Country:US
Mailing Address - Phone:732-398-1718
Mailing Address - Fax:
Practice Address - Street 1:1000 HERRONTOWN RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7716
Practice Address - Country:US
Practice Address - Phone:732-398-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051779001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty