| Lumos Counseling Pc | |
|
20 Malcolm Way Lincroft NJ 07738-1556 | |
| (914) 316-5424 | |
| Not Available |
| Full Name | Lumos Counseling Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 Malcolm Way, Lincroft, New Jersey |
| Authorized Official Name and Position | Kelsey Siegel (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Contact | 9143165424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumos Counseling Pc 20 Malcolm Way Lincroft NJ 07738-1556 Ph: () - | Lumos Counseling Pc 20 Malcolm Way Lincroft NJ 07738-1556 Ph: (914) 316-5424 |
| NPI Number | 1366918666 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366918666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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