Provider Demographics
NPI:1689825077
Name:COREVALUES CONSULTANTS LLC
Entity Type:Organization
Organization Name:COREVALUES CONSULTANTS LLC
Other - Org Name:LIFE MATTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, LCADC
Authorized Official - Phone:856-854-3155
Mailing Address - Street 1:215 HIGHLAND AVE
Mailing Address - Street 2:SUITES C28-29
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2634
Mailing Address - Country:US
Mailing Address - Phone:856-854-3155
Mailing Address - Fax:856-854-0992
Practice Address - Street 1:215 HIGHLAND AVE
Practice Address - Street 2:SUITES C28-29
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-2634
Practice Address - Country:US
Practice Address - Phone:856-854-3155
Practice Address - Fax:856-854-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-04
Last Update Date:2008-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000287-07261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder