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Organization

BRIDGING THE GAP COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH TOUSSAINT LCSW (OWNER)
(718) 809-4716
Entity
Organization

Contact information

Practice address
304 FULLER TER, ORANGE, NJ 07050-2414
(973) 761-3536
Mailing address
4 S ORANGE AVE # 509, SOUTH ORANGE, NJ 07079-1702
(973) 761-3536

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/25/2021
Last updated
11/17/2022
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