| Counseling Service Of Central Jersey | |
|
Two Nawatam Way Matawan NJ 07747-3018 | |
| (732) 566-9222 | |
| (732) 566-9298 |
| Full Name | Counseling Service Of Central Jersey |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Two Nawatam Way, Matawan, New Jersey |
| Authorized Official Name and Position | John Joseph Shannon (PRESIDENT) |
| Authorized Official Contact | 7325669222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Service Of Central Jersey Two Nawatam Way Matawan NJ 07747-3018 Ph: (732) 566-9222 | Counseling Service Of Central Jersey Two Nawatam Way Matawan NJ 07747-3018 Ph: (732) 566-9222 |
| NPI Number | 1942559067 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942559067 | NPI | - | NPPES |
| 3155706 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35S1000045200 (New Jersey) | Primary |
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