About
Dr. Eli Michael Simong Forman is a Mental Health Counselor in Leonia, New Jersey. He has over 17 years of experience. Contact Dr. Eli Michael Simong Forman to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Not Sole Proprietor
Gender
Male
Years in Practice
17 years
Healthcare Provider Taxonomy
- Code: 101YM0800X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Mental Health
- Code: 101YP2500X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Professional
- Code: 106H00000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Marriage & Family Therapist
Credentials
- Doctor of Philosophy (PHD)
Licenses
| Name | License Number | State |
|---|---|---|
| Counselor | 5688633 Verify | NY |
| Counselor | 0019 Verify | MD |
| Marriage & Family Therapist | M038 Verify | MD |
| Marriage & Family Therapist | MFC13681 Verify | CA |
| Marriage & Family Therapist | 37F100059900 Verify | NJ |
Practice Locations
431 Park Avenue
Leonia, NJ 07605-1219
Phone Number: (201) 592-7388
Fax Number: (201) 592-6301
Therapists Near Leonia, NJ
