| Fresh Start Family Therapy Services | |
|
600 Somerdale Rd Ste 101 Voorhees NJ 08043-1858 | |
| (856) 220-7035 | |
| (856) 595-9377 |
| Full Name | Fresh Start Family Therapy Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 600 Somerdale Rd Ste 101, Voorhees, New Jersey |
| Authorized Official Name and Position | Bridget Juanique Lark (OWNER) |
| Authorized Official Contact | 8562207035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Family Therapy Services 38 Walnut Ave Lindenwold NJ 08021-1635 Ph: (856) 220-7035 | Fresh Start Family Therapy Services 600 Somerdale Rd Ste 101 Voorhees NJ 08043-1858 Ph: (856) 220-7035 |
| NPI Number | 1265059067 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265059067 | NPI | - | NPPES |
| 1386125946 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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