| Organization Name: | SOUTH JERSEY COUNSELING ASSOCIATES, INC. |
| NPI Number: | 1235282385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMBER THANI SAMAROO (EXECUTIVE DIRECTOR) |
| Mailing Address: | 501 N Haddon Ave Suite 4 Haddonfield |
| State: | NJ US |
| Postal Code: | 080331753 |
| Phone Number: | 8563548525 |
| Fax Number: | 8563540830 |
| NPI Enumeration Date: | 01/20/2007 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC01370200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |