Organization
GREATER NEW JERSEY CREATIVE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY M DOLAN LCSW (PRESIDENT)
(717) 419-2756
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N, SUITE 104, MARLTON, NJ 08053-3422
(717) 419-2756
Mailing address
525 ROUTE 73 N, SUITE 104, MARLTON, NJ 08053-3422
(717) 419-2756
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SCO5540000
NJ
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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