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Organization
CREATIVE CHANGE COUNSELING
Active
Organization
CREATIVE CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTEE THOMAS (CEO)
(609) 667-7353
Entity
Organization
Contact information
Practice address
3525 QUAKERBRIDGE RD STE 903, HAMILTON, NJ 08619-1266
(609) 667-7353
Mailing address
668 MAIN ST, LUMBERTON, NJ 08048-5016
(609) 667-7353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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