| Evaluations For Change | |
|
130 W Water St Unit 1287 Toms River NJ 08754-8049 | |
| (732) 784-8336 | |
| Not Available |
| Full Name | Evaluations For Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 130 W Water St Unit 1287, Toms River, New Jersey |
| Authorized Official Name and Position | Jennell Jackson (OWNER) |
| Authorized Official Contact | 7327848336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evaluations For Change 130 W Water St Unit 1287 Toms River NJ 08754-8049 Ph: (732) 784-8336 | Evaluations For Change 130 W Water St Unit 1287 Toms River NJ 08754-8049 Ph: (732) 784-8336 |
| NPI Number | 1912749680 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912749680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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