Organization
WISE PATH COUNSELING
Active
Organization
WISE PATH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY JANE NICHOLS LCSW (OWNER/COUNSELOR)
(385) 313-0680
Entity
Organization
Contact information
Practice address
11 W ORMOND AVE, STE 200-D, CHERRY HILL, NJ 08002-3054
(385) 313-0680
Mailing address
11 W ORMOND AVE, STE 200-D, CHERRY HILL, NJ 08002-3054
(385) 313-0680
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05656600
NJ
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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