| Bordentown Counseling Center, Llc | |
|
410 Farnsworth Ave Suite 1a Bordentown NJ 08505-2005 | |
| (609) 298-9144 | |
| (609) 298-9288 |
| Full Name | Bordentown Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 410 Farnsworth Ave, Bordentown, New Jersey |
| Authorized Official Name and Position | Dana Peterson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6092989144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bordentown Counseling Center, Llc 410 Farnsworth Ave Suite 1a Bordentown NJ 08505-2005 Ph: (609) 298-9144 | Bordentown Counseling Center, Llc 410 Farnsworth Ave Suite 1a Bordentown NJ 08505-2005 Ph: (609) 298-9144 |
| NPI Number | 1710199559 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710199559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05197000 (New Jersey) | Primary |
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