| Supportive Souls Counseling | |
|
81 Sharon Ave Edison NJ 08817-4516 | |
| (732) 829-9690 | |
| Not Available |
| Full Name | Supportive Souls Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 81 Sharon Ave, Edison, New Jersey |
| Authorized Official Name and Position | Carissa Fresco (PRESIDENT) |
| Authorized Official Contact | 7328299690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Souls Counseling 81 Sharon Ave Edison NJ 08817-4516 Ph: (732) 829-9690 | Supportive Souls Counseling 81 Sharon Ave Edison NJ 08817-4516 Ph: (732) 829-9690 |
| NPI Number | 1700570025 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700570025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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