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General NPI Number Information
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NPI Number | 1497149041
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Entity Type | Organization
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Legal Business Name | J&T BEHAVIORAL HEALTH AND COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/21/2015
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 700 LIBERTY PL
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5715
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Country | US
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Telephone | 856-776-7540
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Fax |
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Provider Business Mailing Address
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Address Line | 700 LIBERTY PL
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5715
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Country | US
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Telephone | 856-776-7540
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Fax | 856-776-7512
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JACOB NWOSU
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Credential | PA-C
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Telephone | 856-776-7540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 26NJ00315300
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License Number State | NJ
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