| Counseling Professionals Of Southern New Jersey Llc | |
| 
					21 Randolph Dr Sicklerville NJ 08081-1148  | |
| (856) 513-5054 | |
| Not Available | 
| Full Name | Counseling Professionals Of Southern New Jersey Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 21 Randolph Dr, Sicklerville, New Jersey | 
| Authorized Official Name and Position | Thomas Tracy (OWNER) | 
| Authorized Official Contact | 8565135054 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Counseling Professionals Of Southern New Jersey Llc 21 Randolph Dr Sicklerville NJ 08081-1148 Ph: () -  | Counseling Professionals Of Southern New Jersey Llc 21 Randolph Dr Sicklerville NJ 08081-1148 Ph: (856) 513-5054  | 
| NPI Number | 1023478864 | 
|---|---|
| Provider Enumeration Date | 03/04/2016 | 
| Last Update Date | 03/04/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023478864 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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