| Jersey Shore Behavioral Group | |
|
2517 Highway 35 Ste C102 Manasquan NJ 08736-1910 | |
| (848) 240-8955 | |
| Not Available |
| Full Name | Jersey Shore Behavioral Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2517 Highway 35 Ste C102, Manasquan, New Jersey |
| Authorized Official Name and Position | John Salvatore Lograsso (FOUNDER) |
| Authorized Official Contact | 8482408955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Behavioral Group 662 Rolling Hills Ct Brick NJ 08724-1177 Ph: (848) 240-8955 | Jersey Shore Behavioral Group 2517 Highway 35 Ste C102 Manasquan NJ 08736-1910 Ph: (848) 240-8955 |
| NPI Number | 1568043354 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568043354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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