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Organization

GENESIS COUNSELING CENTER, INC.

Active
Parent organization
GENESIS COUNSELING CENTER, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENESIS COUNSELING CENTER, INC.
Authorized official
KAREN COLE (VICE PRESIDENT OF SUPPORT SERVICES)
(856) 858-9314
Entity
Organization

Contact information

Practice address
2003 LINCOLN DR W STE C, MARLTON, NJ 08053-1529
(856) 596-8007
(856) 596-8699
Mailing address
566 HADDON AVE, COLLINGSWOOD, NJ 08108-1444
(856) 858-9314
(856) 858-5672

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2000171
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0419192
NJ
Enumeration date
09/22/2014
Last updated
09/22/2014
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