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Organization

COURAGEOUS COMMUNITY COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAKIA MAYER LPC (OWNER)
(732) 419-7353
Entity
Organization

Contact information

Practice address
260 CATOR AVE, JERSEY CITY, NJ 07305-2002
(732) 419-7353
Mailing address
123 TOWN SQUARE PL # 273, JERSEY CITY, NJ 07310-1756
(732) 419-7353

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251S00000X
Community/Behavioral Health Agency
37PC00611300
NJ

Other

Enumeration date
05/22/2018
Last updated
01/06/2019
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