Organization
CHAIRVILLE COUNSELING
Active
Parent organization
TRI-STATE DBT ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE DBT ASSOCIATES
Authorized official
MRS. JENNIFER AGNES GOULD MA, LPC, NCC (OWNER, PRIMARY COUNSELOR)
(609) 388-8919
Entity
Organization
Contact information
Practice address
11 CHAIRVILLE RD, MEDFORD, NJ 08055-9619
(609) 388-8919
Mailing address
11 CHAIRVILLE RD, MEDFORD, NJ 08055-9619
(609) 388-8919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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