| Full Circle Counseling, Llc | |
|
63 Beaverbrook Rd Suite 206 Lincoln Park NJ 07035-1440 | |
| (973) 694-1950 | |
| (973) 694-1952 |
| Full Name | Full Circle Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 63 Beaverbrook Rd, Lincoln Park, New Jersey |
| Authorized Official Name and Position | Jordan Brown (OWNER/THERAPIST/PROVIDER) |
| Authorized Official Contact | 2013706906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Counseling, Llc 63 Beaverbrook Rd Suite 206 Lincoln Park NJ 07035-1440 Ph: (973) 694-1950 | Full Circle Counseling, Llc 63 Beaverbrook Rd Suite 206 Lincoln Park NJ 07035-1440 Ph: (973) 694-1950 |
| NPI Number | 1174788715 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174788715 | NPI | - | NPPES |
| 0161454 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 44SC04697500 (New Jersey) | Primary |
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