Organization
GENESIS PSYCHOTHERAPY, ASSESSMENTS, COUNSELING, & EDUCATIONAL SERVICES
Active
Other names
METAMORPHOSIS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LOISEAU LPC (DIRECTOR)
(609) 647-8759
Entity
Organization
Contact information
Practice address
904 RIVERSIDE AVE, TRENTON, NJ 08618-5318
(609) 393-1166
(609) 393-2140
Mailing address
904 RIVERSIDE AVE, TRENTON, NJ 08618-5318
(609) 393-1166
(609) 393-2140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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