| Joanne Stavola Lcsw Llc | |
|
130 Maple Ave Suite 5b Red Bank NJ 07701-1734 | |
| (732) 403-9326 | |
| (732) 224-0494 |
| Full Name | Joanne Stavola Lcsw Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 130 Maple Ave, Red Bank, New Jersey |
| Authorized Official Name and Position | Joanne C Stavola (SOLE PROPRIETOR) |
| Authorized Official Contact | 7324039326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Stavola Lcsw Llc 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 Ph: (732) 212-0051 | Joanne Stavola Lcsw Llc 130 Maple Ave Suite 5b Red Bank NJ 07701-1734 Ph: (732) 403-9326 |
| NPI Number | 1770856023 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 02/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770856023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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