Individual
AMI TELAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
1417 ENGLEMERE BLVD, TOMS RIVER, NJ 08757-1617
(732) 644-4812
Mailing address
1240 BROADWAY BLVD, TOMS RIVER, NJ 08757-2601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00808500
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00356800
NJ
Other
Enumeration date
12/14/2022
Last updated
03/04/2025
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