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Organization
COUNSELING AND PSYCHOTHERAPY FOR LIFE LLC
Active
Organization
COUNSELING AND PSYCHOTHERAPY FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F BOAN ED.S. LMFT (OWNER/ OPERATOR)
(732) 664-0772
Entity
Organization
Contact information
Practice address
7 NICOLE CT, JACKSON, NJ 08527-2400
(732) 664-0772
(732) 928-6290
Mailing address
19 N COUNTY LINE RD, BLDG 3 SUITE 6, JACKSON, NJ 08527-1255
(732) 664-0772
(732) 928-6290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
NJ37FI00166800
NJ
Other
Enumeration date
07/23/2012
Last updated
08/22/2012
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