Organization
FAITH CHRISTIAN COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY SCOTT III (EXECUTIVE DIRECTOR)
(609) 346-0619
Entity
Organization
Contact information
Practice address
215 LOCUST ST, BEVERLY, NJ 08010
(609) 877-4411
(888) 201-7278
Mailing address
39 SOMERSET DR, WILLINGBORO, NJ 08046-1433
(608) 346-0619
(888) 201-7278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC00576900
NJ
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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