Organization
FAITH CHRISTIAN COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY SCOTT III M. TH. (DIRECTOR)
(609) 880-3025
Entity
Organization
Contact information
Practice address
704 COOPER ST, BEVERLY, NJ 08010-1702
(609) 880-3025
(888) 397-1415
Mailing address
39 SOMERSET DR, WILLINGBORO, NJ 08046-1433
(609) 880-3025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05221400
NJ
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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