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Organization
REHOBOTH MENTAL HEALTH CONSULT LLC
Active
Organization
REHOBOTH MENTAL HEALTH CONSULT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIEN OGON (CREDENTIALING MANAGER)
(856) 398-0428
Entity
Organization
Contact information
Practice address
971 US HIGHWAY 202 N, BRANCHBURG, NJ 08876-3757
(862) 216-1153
(856) 998-1204
Mailing address
971 US HIGHWAY 202 N, BRANCHBURG, NJ 08876-3757
(862) 216-1153
(856) 998-1204
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
07/01/2026
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