Individual provider · Type 1 NPI

Kevin Charles Story

Mental Health Counselor · Berlin, NJ

NPI number 1053609065 Active

Practice location

128 Cross Keys Rd
Berlin, NJ 08009-9201

Call (856) 210-1511 Map

Mailing address

19 E Ormond Ave
Cherry Hill, NJ 08034-2053

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101YM0800X (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1053609065

Kevin Charles Story's National Provider Identifier is 1053609065, issued on Jul 12, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berlin, NJ. The record was last updated on Jul 12, 2011.