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Organization
FEATHERLIGHT COUNSELING AND CONSULTATION LLC
Active
Organization
FEATHERLIGHT COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN LOUISE PROVANCE LCSW (OWNER)
(908) 510-0532
Entity
Organization
Contact information
Practice address
807 CRANBURY CROSS RD, NORTH BRUNSWICK, NJ 08902-2268
(908) 510-0532
Mailing address
807 CRANBURY CROSS RD, NORTH BRUNSWICK, NJ 08902-2268
(908) 510-0532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/18/2022
Last updated
10/24/2022
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