Organization
TEAM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDON LUPON LPC ACS (OWNER)
(732) 673-4689
Entity
Organization
Contact information
Practice address
82 KEMP AVE, FAIR HAVEN, NJ 07704-3530
(732) 673-4689
Mailing address
82 KEMP AVE, FAIR HAVEN, NJ 07704-3530
(732) 673-4689
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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