Organization
PDP ASSOCIATES LLC
Active
Other names
Phoenix Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
POONAM PATEL LPC (OWNER)
(732) 479-1519
Entity
Organization
Contact information
Practice address
3490 US HIGHWAY 1, BUILDING 16 SUITE 112, PRINCETON, NJ 08540
(732) 479-1519
Mailing address
7 BEAUMONT PL, WESTAMPTON, NJ 08060-6729
(732) 986-7663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/09/2019
Last updated
05/27/2020
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