Back To Center Counseling, Llc | |
1316 Opdyke Ave Ocean NJ 07712-4646 | |
(908) 902-1356 | |
(732) 807-3088 |
Full Name | Back To Center Counseling, Llc |
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Speciality | Social Worker - Clinical |
Location | 1316 Opdyke Ave, Ocean, New Jersey |
Authorized Official Name and Position | Gwen Marlatt Vela (PSYCHOTHERAPIST) |
Authorized Official Contact | 9089021356 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Back To Center Counseling, Llc 1316 Opdyke Ave Ocean NJ 07712-4646 Ph: (908) 902-1356 | Back To Center Counseling, Llc 1316 Opdyke Ave Ocean NJ 07712-4646 Ph: (908) 902-1356 |
NPI Number | 1659797389 |
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Provider Enumeration Date | 03/05/2014 |
Last Update Date | 03/05/2014 |
Identifier | Type | State | Issuer |
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1659797389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05484100 (New Jersey) | Primary |
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