| J&t Behavioral Health And Counseling Services Llc | |
|
602 Liberty Pl Sicklerville NJ 08081-5700 | |
| (856) 776-7540 | |
| Not Available |
| Full Name | J&t Behavioral Health And Counseling Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 602 Liberty Pl, Sicklerville, New Jersey |
| Authorized Official Name and Position | Jacob Nwosu (MANAGER) |
| Authorized Official Contact | 8567767540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J&t Behavioral Health And Counseling Services Llc 602 Liberty Pl Sicklerville NJ 08081-5700 Ph: (856) 776-7540 | J&t Behavioral Health And Counseling Services Llc 602 Liberty Pl Sicklerville NJ 08081-5700 Ph: (856) 776-7540 |
| NPI Number | 1497149041 |
|---|---|
| Provider Enumeration Date | 03/21/2015 |
| Last Update Date | 08/07/2015 |
| Medicare PECOS PAC ID | 3274849377 |
|---|---|
| Medicare Enrollment ID | O20150904000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497149041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 26NJ00315300 (New Jersey) | Primary |
| Provider Name | Theodora Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740569904 PECOS PAC ID: 5597903948 Enrollment ID: I20130524000548 |
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