Organization
HOLISTIC CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE BACK LCSW (PRESIDENT)
(610) 606-8027
Entity
Organization
Contact information
Practice address
779 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3948
(610) 606-8027
Mailing address
779 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3948
(610) 606-8027
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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