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Organization

FICTRE COUNSELING SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE - WITHERSPOON MASTER OF HUMAN SERV (INTENSIVE WITHIN COMMUNITY PROVIDER)
(856) 573-7742
Entity
Organization

Contact information

Practice address
111 HIGH STREET, MT. HOLLY, NJ 08060
(856) 573-7742
Mailing address
111 HIGH ST, MT. HOLLY, NJ 08060
(856) 573-7742

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0059986
NJ

Other

Enumeration date
03/16/2007
Last updated
08/22/2020
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