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Organization

GENESIS COUNSELING CENTER, INC

Active
Parent organization
GENESIS COUNSELING CENTER, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENESIS COUNSELING CENTER, INC
Authorized official
KAREN COLE (VICE PRESIDENT OF OPERATIONS)
(856) 858-9314
Entity
Organization

Contact information

Practice address
2003C LINCOLN DRIVE WEST, MARLTON, NJ 08053
(856) 596-8007
(856) 596-8699
Mailing address
566 HADDON AVE, COLLINGSWOOD, NJ 08108
(856) 858-9314
(856) 858-5672

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0419192
NJ
Enumeration date
08/16/2018
Last updated
08/16/2018
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