Organization
CHAMPION PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LYNN HODGES PSYD, LCADC (OWNER)
(609) 638-7560
Entity
Organization
Contact information
Practice address
17 BRADFORD AVE APT 13, TRENTON, NJ 08610-3107
(609) 638-7560
Mailing address
P.O. BOX 2623, MERCERVILLE, NJ 08619-9998
(609) 638-7560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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