# FRESH START FAMILY THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265059067
- **Authorized official:** MS. BRIDGET JUANIQUE LARK LMFT (OWNER)
- **Authorized official phone:** (856) 220-7035

## Contact information

- **Practice address:** 600 SOMERDALE RD STE 101, VOORHEES, NJ 08043-1858
- **Practice address phone:** (856) 220-7035
- **Practice address fax:** (856) 595-9377
- **Mailing address:** 38 WALNUT AVE, LINDENWOLD, NJ 08021-1635
- **Mailing address phone:** (856) 220-7035
- **Mailing address fax:** (856) 595-9377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2020
- **Last updated:** 06/29/2020