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Organization
WISHING WELL COMMUNITY CONSULTING
Active
Organization
WISHING WELL COMMUNITY CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DOCK SR. MA, LCADC (DIRECTOR)
(862) 324-4375
Entity
Organization
Contact information
Practice address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634
(862) 324-4375
Mailing address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634
(862) 324-4375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/16/2026
Last updated
06/24/2026
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