Full Bloom Counseling LLC
Counselor, Mental Health in Swedesboro, NJ. Organization (NPI-2).
NPI number1205587797
StatusActive
Last updated in NPPESJan 16, 2022
Details
- NPI
- 1205587797
- Entity type
- Organization (NPI-2)
- Legal business name
- Full Bloom Counseling LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2022
- Certification date
- Jan 16, 2022
- Last updated
- Jan 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
38 Stonemill WaySwedesboro, NJ 08085-1861
Phone 609-202-1107
Mailing address
Po Box 372Pennsville, NJ 08070-0372
Phone 609-202-1107
Authorized official
Rebecca Lafleur
Owner/ Counselor
6092021107
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