MEDICARE: NEXT STEP COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1487056669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT STEP COUNSELING LLC

Provider Business Mailing Address
First Line	:	100 ASHURST LN STE 209
Second Line	:
City	:	MOUNT HOLLY
State	:	NJ
Zip	:	08060-1202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ASHURST LN STE 209
Second Line	:
City	:	MOUNT HOLLY
State	:	NJ
Zip	:	08060-1202
Country	:	US
Telephone Number	:	609-306-3197
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	MRS. ANN SUABEDISSEN
Credential	:
Telephone Number	:	609-306-3197

Provider Enumeration Date	:	09/19/2014
Last Update Date	:	09/19/2014

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Directions to “NEXT STEP COUNSELING LLC ” Practice Location

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