| My Therapist Llc | |
|
19 N County Line Rd Ste 16 Jackson NJ 08527-1466 | |
| (732) 510-3641 | |
| Not Available |
| Full Name | My Therapist Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19 N County Line Rd Ste 16, Jackson, New Jersey |
| Authorized Official Name and Position | Kayla Dukess (OWNER) |
| Authorized Official Contact | 7325103641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapist Llc 1541 10th Ave Toms River NJ 08757-2839 Ph: (732) 510-3641 | My Therapist Llc 19 N County Line Rd Ste 16 Jackson NJ 08527-1466 Ph: (732) 510-3641 |
| NPI Number | 1396414181 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396414181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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