| Team Counseling | |
|
82 Kemp Ave Fair Haven NJ 07704-3530 | |
| (732) 673-4689 | |
| Not Available |
| Full Name | Team Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 82 Kemp Ave, Fair Haven, New Jersey |
| Authorized Official Name and Position | Jordon Lupon (OWNER) |
| Authorized Official Contact | 7326734689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Counseling 82 Kemp Ave Fair Haven NJ 07704-3530 Ph: (732) 673-4689 | Team Counseling 82 Kemp Ave Fair Haven NJ 07704-3530 Ph: (732) 673-4689 |
| NPI Number | 1821851361 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821851361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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