| West Therapeutic Consultation Services, Llc | |
|
108 Fairway Ter Mount Laurel NJ 08054-2321 | |
| (856) 787-7150 | |
| Not Available |
| Full Name | West Therapeutic Consultation Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 Fairway Ter, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Clara Y West (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6092349109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Therapeutic Consultation Services, Llc 21 Lubrano Ln Bordentown NJ 08505-4278 Ph: () - | West Therapeutic Consultation Services, Llc 108 Fairway Ter Mount Laurel NJ 08054-2321 Ph: (856) 787-7150 |
| NPI Number | 1114566478 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114566478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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