Organization
THE PASTORS LOUNGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERIDAN JENICE TENNANT-STRAUBE (CO OWNER AND CLINICIAN)
(908) 844-1080
Entity
Organization
Contact information
Practice address
11 TAMARACK RD, EDISON, NJ 08820-3630
(908) 844-1080
Mailing address
192 BENNETTS LN, SOMERSET, NJ 08873-5051
(908) 844-1080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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