Organization
SOUTHERN SHORE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN LOMBARDO LAC (LICENSED THERAPIST)
(609) 597-0084
Entity
Organization
Contact information
Practice address
9 N MAIN ST, MANAHAWKIN, NJ 08050-2929
(609) 597-0084
Mailing address
9 N MAIN ST, MANAHAWKIN, NJ 08050-2929
(609) 597-0084
(609) 597-0086
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37AC00156700
NJ
Other
Enumeration date
04/08/2015
Last updated
05/21/2015
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