| Family Therapy And Consultation Services | |
|
1 Lupton Ave Woodbury NJ 08096-5901 | |
| (856) 332-4698 | |
| (856) 415-7574 |
| Full Name | Family Therapy And Consultation Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1 Lupton Ave, Woodbury, New Jersey |
| Authorized Official Name and Position | Nancy Kline Gold (PRESIDENT/CEO) |
| Authorized Official Contact | 8563324698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy And Consultation Services 1 Lupton Ave Woodbury NJ 08096-5901 Ph: (856) 332-4698 | Family Therapy And Consultation Services 1 Lupton Ave Woodbury NJ 08096-5901 Ph: (856) 332-4698 |
| NPI Number | 1679087712 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679087712 | NPI | - | NPPES |
| 397539 | Medicaid | NJ | |
| 0046132 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00150900 (New Jersey) | Primary |
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