Organization
SOUTH JERSEY PSYCHOLOGICAL AND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KRAVCHUCK (PSYCHOLOGIST)
(844) 365-7676
Entity
Organization
Contact information
Practice address
140 S BROADWAY STE 7, PITMAN, NJ 08071-2235
(844) 365-7676
Mailing address
PO BOX 211, PITMAN, NJ 08071-0211
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
35S100500400
NJ
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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