Organization
PC COUNSELING REHABILIATION
Active
Organization
PC COUNSELING REHABILIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NWOGA LPC (PRESIDENT)
(609) 634-2093
Entity
Organization
Contact information
Practice address
17 MULBERRY ST, SICKLERVILLE, NJ 08081
(609) 634-2093
(856) 269-0721
Mailing address
17 MULBERRY ST, SICKLERVILLE, NJ 08081
(609) 634-2093
(856) 269-0721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00334700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087947
—
NJ
Enumeration date
04/03/2007
Last updated
06/18/2008
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