Organization
INNOVATIVE COUNSELING SOLUTIONS OF NJ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KENNEDY MA, LPC (CO-OWNER)
(609) 970-0640
Entity
Organization
Contact information
Practice address
129 JOHNSON RD, TURNERSVILLE, NJ 08012-1777
(609) 970-0640
(856) 228-9584
Mailing address
65 MEADOWS DRIVE, GLASSBORO, NJ 08028
(609) 970-0640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00376400
NJ
Other
Enumeration date
02/03/2010
Last updated
02/04/2010
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