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Organization
PHOENIX COUNSELING & TRAUMA TREATMENT CENTER, LLC
Active
Organization
PHOENIX COUNSELING & TRAUMA TREATMENT CENTER, LLC
Active
Other names
Phoenix Counseling & Trauma Treatment Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE MAE KENT LCSW (OWNER/DIRECTOR)
(856) 300-7770
Entity
Organization
Contact information
Practice address
727 E LANDIS AVE, VINELAND, NJ 08360-8001
(856) 300-7770
Mailing address
4601 ASCHER RD, VINELAND, NJ 08361-7601
(856) 300-7770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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