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Organization
NOVA PAX WELLNESS LLC
Active
Organization
NOVA PAX WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE CUTSFORTH BCDFM (FOUNDER/DIRECTOR)
(949) 289-1273
Entity
Organization
Contact information
Practice address
501 DELAWARE AVE, ROEBLING, NJ 08554-1904
(949) 289-1273
Mailing address
1208 JACKSONVILLE SMITHVILLE RD, BORDENTOWN, NJ 08505-4009
(949) 289-1273
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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