Organization
DIAGNOSTIC &PROFESSIONAL COUNSELING
Active
Organization
DIAGNOSTIC &PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL PATRICK COPPADGE LCSW (DIRECTOR)
(856) 429-1435
Entity
Organization
Contact information
Practice address
118 N HADDON AVE, HADDONFIELD, NJ 08033-2306
(856) 429-7435
Mailing address
145 MANSION AVE, VOORHEES, NJ 08043-1035
(856) 429-1435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC01492200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043494
—
NJ
Enumeration date
10/09/2008
Last updated
10/09/2008
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