Organization · Type 2 NPI

Holly Street Counseling

Mental Health Counselor · Willingboro, NJ

NPI number 1104494202 Active

Practice location

142 Pheasant Ln
Willingboro, NJ 08046-2735

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104494202

Holly Street Counseling's National Provider Identifier is 1104494202, issued on Jun 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willingboro, NJ. The record was last updated on Jun 15, 2021.