| Plum Street Counseling Llc | |
|
415 Leming Rd Jackson NJ 08527-3151 | |
| (732) 823-9770 | |
| Not Available |
| Full Name | Plum Street Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 415 Leming Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Amelia Peverada (OWNER/PROVIDER) |
| Authorized Official Contact | 7328239770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Street Counseling Llc 415 Leming Rd Jackson NJ 08527-3151 Ph: (732) 823-9770 | Plum Street Counseling Llc 415 Leming Rd Jackson NJ 08527-3151 Ph: (732) 823-9770 |
| NPI Number | 1295579811 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295579811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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