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Organization
NORTH STAR COUNSELING
Active
Organization
NORTH STAR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE BACK LCSW (OWNER)
(347) 377-1855
Entity
Organization
Contact information
Practice address
758 2ND STREET PIKE STE 3, SOUTHAMPTON, PA 18966-3972
(267) 766-0620
Mailing address
106 KINGFIELD RD, PHILADELPHIA, PA 19115-4011
(134) 737-7185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/07/2018
Last updated
11/15/2019
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