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Organization
LIVING WELL COUNSELING CENTER LLC
Active
Organization
LIVING WELL COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELIN WEISSER (CO-OWNER)
(732) 688-7130
Entity
Organization
Contact information
Practice address
106 APPLE STREET SUITE 115B, TINTON FALLS, NJ 07724
(732) 688-7130
Mailing address
106 APPLE STREET SUITE 115B, TINTON FALLS, NJ 07724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00529600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05665400
NJ
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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