| Organization Name: | CREATIVE COUNSELING & THERAPY |
| NPI Number: | 1083759120 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN PATRICIA MCGOVERN (DIRECTOR) |
| Mailing Address: | 618 S White Horse Pike 2nd Floor Audubon |
| State: | NJ US |
| Postal Code: | 081061315 |
| Phone Number: | 8565460021 |
| Fax Number: | 8565466167 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00048400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |