Organization
DESTINY SUPPORTIVE SERVICES
Active
Organization
DESTINY SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NONI KENDALL LCSW (OWNER)
(856) 912-0712
Entity
Organization
Contact information
Practice address
1351 FAIRVIEW BLVD STE A, DELRAN, NJ 08075-1475
(856) 912-0712
(856) 245-8388
Mailing address
1351 FAIRVIEW BLVD STE A, DELRAN, NJ 08075-1475
(856) 912-0712
(856) 245-8388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/21/2023
Last updated
12/05/2024
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