Organization
J SMITH LIFE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDITH SMITH LCSW (PRESIDENT)
(732) 244-2429
Entity
Organization
Contact information
Practice address
1657 FERRO LANE, TOMS RIVER, NJ 08755
(732) 252-7411
Mailing address
1657 FERRO LANE, TOMS RIVER, NJ 08755
(732) 252-7411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05190900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05190900
LSCW LICENSE
NJ
Enumeration date
07/02/2006
Last updated
11/10/2016
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