| Jersey Shore Counseling, Llc | |
|
780 Commons Way Building J Toms River NJ 08755-6431 | |
| (732) 784-1810 | |
| (732) 784-2850 |
| Full Name | Jersey Shore Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 780 Commons Way, Toms River, New Jersey |
| Authorized Official Name and Position | Megan Vaccaro Ross (SOLE OWNER) |
| Authorized Official Contact | 7327841810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Counseling, Llc 780 Commons Way Building J Toms River NJ 08755-6431 Ph: (732) 784-1810 | Jersey Shore Counseling, Llc 780 Commons Way Building J Toms River NJ 08755-6431 Ph: (732) 784-1810 |
| NPI Number | 1013149020 |
|---|---|
| Provider Enumeration Date | 08/10/2009 |
| Last Update Date | 05/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013149020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00059700 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00234100 (New Jersey) | Primary |
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