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General NPI Number Information
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NPI Number | 1558859702
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Entity Type | Organization
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Legal Business Name | THE WOUNDED HEALER, INC. D/B/A MY FRIENDS HOUSE FAMILY COUNSELING SERV
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1000 WHITE HORSE RD STE 612
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City | VOORHEES
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State | NJ
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Zip | 08043-4412
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Country | US
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Telephone | 856-669-0292
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Fax | 856-767-2632
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Provider Business Mailing Address
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Address Line | 1000 WHITE HORSE RD STE 612
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City | VOORHEES
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State | NJ
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Zip | 08043-4412
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Country | US
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Telephone | 856-669-0292
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Fax | 856-767-2632
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Authorized Official
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Title or Position | CEO
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Name | ROBERT LAGUARINA JR.
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Credential |
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Telephone | 856-669-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2000662
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License Number State | NJ
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