Individual
KRISTY DANIELLE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 BROADWAY STE 2, WEST LONG BRANCH, NJ 07764-1335
(732) 852-7373
(732) 631-8136
Mailing address
1049 BROADWAY STE 2, WEST LONG BRANCH, NJ 07764-1335
(732) 852-7373
(732) 631-8136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00346700
NJ
101Y00000X
Counselor
Primary
37PC00681500
NJ
Other
Enumeration date
06/02/2017
Last updated
01/28/2021
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