Fresh Start Counseling LLC
Social Worker, Clinical in Williamstown, NJ. Organization (NPI-2).
NPI number1720821028
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1720821028
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresh Start Counseling LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2024
- Certification date
- Jun 14, 2024
- Last updated
- Jun 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
300 Thomas Ave Bldg 501aWilliamstown, NJ 08094-3442
Phone 609-503-0484 · Fax 609-503-0484
Mailing address
1025 Crestwood CtWilliamstown, NJ 08094-2176
Phone 609-503-0484 · Fax 609-503-0484
Authorized official
Dymir Tatem
Owner
6095030484
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