| Tinamarie Veniscofski Llc | |
|
1163 Route 37 W # Wsuitec2 Toms River NJ 08755-4973 | |
| (201) 304-3117 | |
| Not Available |
| Full Name | Tinamarie Veniscofski Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1163 Route 37 W # Wsuitec2, Toms River, New Jersey |
| Authorized Official Name and Position | Tinamarie Veniscofski (OWNER OF PRACTICE) |
| Authorized Official Contact | 2013043117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinamarie Veniscofski Llc 1163 Route 37 W # Wsuitec2 Toms River NJ 08755-4973 Ph: (201) 304-3117 | Tinamarie Veniscofski Llc 1163 Route 37 W # Wsuitec2 Toms River NJ 08755-4973 Ph: (201) 304-3117 |
| NPI Number | 1396336749 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396336749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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