Organization
EASTERN SOUND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL NICOLOSI LCSW (LCSW)
(732) 804-1032
Entity
Organization
Contact information
Practice address
18 KINGS HWY, MIDDLETOWN, NJ 07748-2509
(732) 804-1032
Mailing address
18 KINGS HWY, MIDDLETOWN, NJ 07748-2509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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