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Kevin Charles Story
Mental Health Counselor in Berlin, New Jersey
NPI 1053609065

Kevin Charles Story is a Mental Health Counselor based in Cherry Hill, NJ and is specialized in Mental Health. Kevin Charles Story practices in Berlin, NJ. The NPI Number for Kevin Charles Story is 1053609065 and holds a License No. 101YM0800X (New Jersey).

The current practice location address for Kevin Charles Story is 128 Cross Keys Rd, Berlin, NJ and can be reached out via phone at 856-210-1511.

Location: 128 Cross Keys Rd, Berlin, NJ, 08034-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053609065
Provider Name
Kevin Charles Story
Credential
Provider Entity Type
Individual
Gender
Male
Address
128 Cross Keys Rd, Berlin, NJ, 08034-2053
Phone Number
856-210-1511
Fax Number
Provider Enumeration Date
07/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 Cross Keys Rd
City
Berlin
State
New Jersey
Zip
08009-9201
Phone Number
856-210-1511
Fax Number
person
Provider Business Mailing Address Details
Address
128 Cross Keys Rd
City
Berlin
State
New Jersey
Zip
08009-9201
Phone Number
856-210-1511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
101YM0800X (New Jersey)
Definition
Definition to come...
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