Individual
SHANNON ALICIA HENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
14 WENDY LN, TOMS RIVER, NJ 08753-4530
(908) 783-5058
Mailing address
14 WENDY LN, TOMS RIVER, NJ 08753-4530
(908) 783-5058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00634900
NJ
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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