Organization
INTENTIONAL HEARTS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MICHELLE NIXON LPC (OWNER)
(732) 853-3050
Entity
Organization
Contact information
Practice address
1806 HIGHWAY 35, SUITE 203B, OAKHURST, NJ 07755-2700
(732) 853-3050
Mailing address
6 GOLFVIEW DR, NEPTUNE, NJ 07753-2933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00432100
NJ
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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