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Organization

CHAIRVILLE COUNSELING

Active
Parent organization
TRI-STATE DBT ASSOCIATES
Other names
Chairville Counseling
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI-STATE DBT ASSOCIATES
Authorized official
MRS. JENNIFER AGNES GOULD MA, LPC, NCC (MANAGING DIRECTOR)
(609) 975-3250
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) 975-9769

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/03/2024
Last updated
08/05/2026
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