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Organization
CREATIVE CHANGE COUNSELING, INC.
Active
Organization
CREATIVE CHANGE COUNSELING, INC.
Active
Parent organization
CREATIVE CHANGE COUNSELING, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATIVE CHANGE COUNSELING, INC.
Authorized official
BERTEE THOMAS PSY. D., LPC (CEO)
(609) 667-7353
Entity
Organization
Contact information
Practice address
322 E 5TH ST, LAKEWOOD, NJ 08701-3415
(609) 668-4719
(609) 667-7944
Mailing address
668 MAIN ST, LUMBERTON, NJ 08048-5016
(609) 668-4719
(609) 667-7944
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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