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Organization
TIDES OF CHANGE COUNSELING
Active
Organization
TIDES OF CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE LANE (OWNER)
(603) 361-6402
Entity
Organization
Contact information
Practice address
67 APPLE ST, TINTON FALLS, NJ 07724-2636
(603) 361-6402
Mailing address
PO BOX 8502, RED BANK, NJ 07701-8502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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