| Holly Street Counseling | |
|
142 Pheasant Ln Willingboro NJ 08046-2735 | |
| (717) 805-4651 | |
| Not Available |
| Full Name | Holly Street Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 142 Pheasant Ln, Willingboro, New Jersey |
| Authorized Official Name and Position | Kresence Greenwood Campbell (OWNER) |
| Authorized Official Contact | 7178054651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Street Counseling 142 Pheasant Ln Willingboro NJ 08046-2735 Ph: (717) 805-4651 | Holly Street Counseling 142 Pheasant Ln Willingboro NJ 08046-2735 Ph: (717) 805-4651 |
| NPI Number | 1104494202 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104494202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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