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Organization
IMPACT COUNSELING LLC
Active
Organization
IMPACT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ALEX LEIBOWITZ MA,PD (PRESIDENT)
(732) 531-6868
Entity
Organization
Contact information
Practice address
255 MONMOUTH RD, OAKHURST, NJ 07755-1515
(732) 531-6868
(732) 531-6969
Mailing address
255 MONMOUTH RD, OAKHURST, NJ 07755-1515
(732) 531-6868
(732) 531-6969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00090800
NJ
106H00000X
Marriage & Family Therapist
Primary
37F1000035800
NJ
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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