Organization
CREATIVE CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTEE THOMAS JR. PSY.D. (CEO)
(160) 966-8471
Entity
Organization
Contact information
Practice address
3525 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1266
(609) 668-4719
(609) 668-4719
Mailing address
668 MAIN ST, LUMBERTON, NJ 08048-5016
(609) 668-4719
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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