Organization
AWAKENING CHANGE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY MINIQUE JENKINS EDD, LPC, LCADC, ACS (FOUNDER/CEO)
(609) 560-7395
Entity
Organization
Contact information
Practice address
1010 HADDONFIELD BERLIN RD STE 403, VOORHEES, NJ 08043-3514
(856) 873-9069
(856) 896-0726
Mailing address
1010 HADDONFIELD BERLIN RD STE 403, VOORHEES, NJ 08043-3514
(856) 873-9069
(856) 896-0726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00198300
NJ
101YP2500X
Professional Counselor
Primary
37PC00636000
NJ
101YP2500X
Professional Counselor
PC009892
PA
Other
Enumeration date
09/04/2018
Last updated
05/03/2024
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