Organization
CREATIVE CHANGE COUNSELING
Active
Organization
CREATIVE CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERTEE THOMAS JR. PSY.D (CHIEF EXECUTIVE OFFICER)
(609) 668-4719
Entity
Organization
Contact information
Practice address
668 MAIN STREET, LUMBERTON, NJ 08048-0516
(609) 668-4719
Mailing address
950 S CHESTER AVE, DELRAN, NJ 08075-1271
(609) 668-4719
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
04/02/2025
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