Individual
TINAMARIE VENISCOFSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
1163 ROUTE 37 W STE C2, TOMS RIVER, NJ 08755-4975
(201) 304-3117
(732) 349-8130
Mailing address
1211 ECHO PL, TOMS RIVER, NJ 08755-4949
(201) 304-3117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00258100
NJ
Other
Enumeration date
05/05/2017
Last updated
07/23/2020
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