Organization
HEARD MENTALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA ISSHAK MSW (LICENSED CLINICAL SOCIAL WORKER)
(856) 701-1278
Entity
Organization
Contact information
Practice address
11 ACADIA DR, VOORHEES, NJ 08043-1600
(973) 348-9989
Mailing address
701 ROUTE 70 W, MARLTON, NJ 08053-1643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851153621
NPPES
NJ
Enumeration date
05/02/2025
Last updated
05/02/2025
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