| Counseling And Psychotherapy For Life Llc | |
|
7 Nicole Ct Jackson NJ 08527-2400 | |
| (732) 664-0772 | |
| (732) 928-6290 |
| Full Name | Counseling And Psychotherapy For Life Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7 Nicole Ct, Jackson, New Jersey |
| Authorized Official Name and Position | William F Boan (OWNER/ OPERATOR) |
| Authorized Official Contact | 7326640772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Psychotherapy For Life Llc 19 N County Line Rd Bldg 3 Suite 6 Jackson NJ 08527-1255 Ph: (732) 664-0772 | Counseling And Psychotherapy For Life Llc 7 Nicole Ct Jackson NJ 08527-2400 Ph: (732) 664-0772 |
| NPI Number | 1174878599 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 08/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174878599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | NJ37FI00166800 (New Jersey) | Primary |
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