| Genesis Counseling Center, Inc. | |
|
2003 Lincoln Dr W Ste C Marlton NJ 08053-1529 | |
| (856) 596-8007 | |
| (856) 596-8699 |
| Full Name | Genesis Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2003 Lincoln Dr W Ste C, Marlton, New Jersey |
| Authorized Official Name and Position | Karen Cole (VICE PRESIDENT OF SUPPORT SERVICES) |
| Authorized Official Contact | 8568589314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Center, Inc. 566 Haddon Ave Collingswood NJ 08108-1444 Ph: (856) 858-9314 | Genesis Counseling Center, Inc. 2003 Lincoln Dr W Ste C Marlton NJ 08053-1529 Ph: (856) 596-8007 |
| NPI Number | 1558763540 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558763540 | NPI | - | NPPES |
| 0419192 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2000171 (New Jersey) | Primary |
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