| Diesel Theraputics Counseling And Consulting Llc | |
|
29 Marter Ave Burlington NJ 08016-1119 | |
| (609) 218-8768 | |
| Not Available |
| Full Name | Diesel Theraputics Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 29 Marter Ave, Burlington, New Jersey |
| Authorized Official Name and Position | Rajonta Hodges (OWNER) |
| Authorized Official Contact | 6092188768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diesel Theraputics Counseling And Consulting Llc 29 Marter Ave Burlington NJ 08016-1119 Ph: () - | Diesel Theraputics Counseling And Consulting Llc 29 Marter Ave Burlington NJ 08016-1119 Ph: (609) 218-8768 |
| NPI Number | 1255046520 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 8325570062 |
|---|---|
| Medicare Enrollment ID | O20241018001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255046520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Rajonta Hodges-mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891463212 PECOS PAC ID: 5294176525 Enrollment ID: I20241018001617 |
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