Organization
CLINICAL PSYCHOTHERAPY & CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET HELEN BLOODGOOD PH.D. (OWNER/PRESIDENT/CEO)
(908) 454-4070
Entity
Organization
Contact information
Practice address
600 COVENTRY DR, PHILLIPSBURG, NJ 08865-1971
(908) 454-4070
(908) 454-4071
Mailing address
600 COVENTRY DR, PHILLIPSBURG, NJ 08865-1971
(908) 454-4070
(908) 454-4071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35S100512900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
678312
VALUE OPTIONS
NJ
Enumeration date
09/09/2015
Last updated
09/30/2016
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