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Organization
COURAGEOUS COMMUNITY COUNSELING SERVICES
Active
Organization
COURAGEOUS COMMUNITY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIA MAYER LPC (OWNER)
(732) 419-7353
Entity
Organization
Contact information
Practice address
260 CATOR AVE, JERSEY CITY, NJ 07305-2002
(732) 419-7353
Mailing address
123 TOWN SQUARE PL # 273, JERSEY CITY, NJ 07310-1756
(732) 419-7353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
37PC00611300
NJ
Other
Enumeration date
05/22/2018
Last updated
01/06/2019
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