Provider Demographics
NPI:1588917546
Name:KSF COUNSELING SERVICES
Entity type:Organization
Organization Name:KSF COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FERLAUTO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-433-6609
Mailing Address - Street 1:10 EDISON DR
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-4222
Mailing Address - Country:US
Mailing Address - Phone:973-433-6609
Mailing Address - Fax:
Practice Address - Street 1:786 MOUNTAIN BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6268
Practice Address - Country:US
Practice Address - Phone:973-433-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00449900251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health