Organization
ABUNDANT LIFE COUNSELING
Active
Other names
Abundant Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD DORSEY LPC (MANAGER)
(973) 865-5972
Entity
Organization
Contact information
Practice address
33 S DELAWARE AVE STE 101B, YARDLEY, PA 19067-1524
(973) 865-5972
Mailing address
6 DONNA LYNN LN, LAWRENCEVILLE, NJ 08648-2822
(973) 865-5972
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14145671
CAQH
NJ
Enumeration date
03/25/2019
Last updated
03/25/2019
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