Provider Demographics
NPI:1437593365
Name:SUPPORTIVE CAREER COUNSELING AND EMPLOYMENT SERVICES INC
Entity Type:Organization
Organization Name:SUPPORTIVE CAREER COUNSELING AND EMPLOYMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-878-9340
Mailing Address - Street 1:309 FELLOWSHIP RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1234
Mailing Address - Country:US
Mailing Address - Phone:856-878-9340
Mailing Address - Fax:856-583-0389
Practice Address - Street 1:309 FELLOWSHIP RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1234
Practice Address - Country:US
Practice Address - Phone:856-878-9340
Practice Address - Fax:856-583-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No344600000XTransportation ServicesTaxi