| NPI | 1326858218 |
|---|---|
| Other Name | GANNON COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | ELLYN LEIBOWITZ Clinical Director 201-688-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |