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Organization

PROFESSIONAL ASSISTANCE PROGRAM OF NEW JERSEY

Active
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Organization

PROFESSIONAL ASSISTANCE PROGRAM OF NEW JERSEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIA VERZEL BAXTER MA, LAC, NCC (PSYCHOTHERAPIST)
(609) 919-1660
Entity
Organization

Contact information

Practice address
742 ALEXANDER RD, PRINCETON, NJ 08540-6327
(609) 919-1660
(609) 919-1611
Mailing address
742 ALEXANDER RD, PRINCETON, NJ 08540-6327
(609) 919-1660
(609) 919-1611

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37AC00099400
NJ

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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