Organization
CHARIS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINEAN CRAWFORD MFT, LPC, NCC (CO-OWNER)
(856) 904-5580
Entity
Organization
Contact information
Practice address
44 COOPER ST, SUITE 104, WOODBURY, NJ 08096-4640
(856) 686-0900
(856) 845-8011
Mailing address
44 COOPER ST, SUITE 104, WOODBURY, NJ 08096-4640
(856) 686-0900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NJ
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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