| Cheryl Mountain Llc | |
|
21 Richmond Ct Tinton Falls NJ 07712-7732 | |
| (732) 539-2579 | |
| Not Available |
| Full Name | Cheryl Mountain Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21 Richmond Ct, Tinton Falls, New Jersey |
| Authorized Official Name and Position | Cheryl Mountain (OWNER) |
| Authorized Official Contact | 7325392579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Mountain Llc 21 Richmond Ct Tinton Falls NJ 07712-7732 Ph: (732) 539-2579 | Cheryl Mountain Llc 21 Richmond Ct Tinton Falls NJ 07712-7732 Ph: (732) 539-2579 |
| NPI Number | 1518607142 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518607142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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