| Impact Counseling Llc | |
|
255 Monmouth Rd Oakhurst NJ 07755-1515 | |
| (732) 531-6868 | |
| (732) 531-6969 |
| Full Name | Impact Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 255 Monmouth Rd, Oakhurst, New Jersey |
| Authorized Official Name and Position | Benjamin Alex Leibowitz (PRESIDENT) |
| Authorized Official Contact | 7325316868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling Llc 255 Monmouth Rd Oakhurst NJ 07755-1515 Ph: (732) 531-6868 | Impact Counseling Llc 255 Monmouth Rd Oakhurst NJ 07755-1515 Ph: (732) 531-6868 |
| NPI Number | 1831482397 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831482397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00090800 (New Jersey) | Secondary |
| 106H00000X | Marriage & Family Therapist | 37F1000035800 (New Jersey) | Primary |
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