| Organization Name: | COVENANT COUNSELING |
| NPI Number: | 1134257595 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN ZEBERT MOCK (OWNER) |
| Mailing Address: | 465 Woodbury Glassboro Rd Sewell |
| State: | NJ US |
| Postal Code: | 080804559 |
| Phone Number: | 8565890800 |
| Fax Number: | 8565890843 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 06/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |