# COUNSELING AND PSYCHOTHERAPY FOR LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174878599
- **Authorized official:** MR. WILLIAM F BOAN ED.S. LMFT (OWNER/ OPERATOR)
- **Authorized official phone:** (732) 664-0772

## Contact information

- **Practice address:** 7 NICOLE CT, JACKSON, NJ 08527-2400
- **Practice address phone:** (732) 664-0772
- **Practice address fax:** (732) 928-6290
- **Mailing address:** 19 N COUNTY LINE RD, BLDG 3 SUITE 6, JACKSON, NJ 08527-1255
- **Mailing address phone:** (732) 664-0772
- **Mailing address fax:** (732) 928-6290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | NJ37FI00166800 | NJ | Yes |

## Other

- **Enumeration date:** 07/23/2012
- **Last updated:** 08/22/2012