Organization
BEACH COUNSELING AND COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA KREUTZBERG LPC (COUNSELOR)
(732) 742-6667
Entity
Organization
Contact information
Practice address
120 E RIVER RD STE 2, RUMSON, NJ 07760-1631
(732) 305-4532
Mailing address
1 CHANNEL DR UNIT 810, MONMOUTH BEACH, NJ 07750-1307
(732) 742-6667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
AETNA
NJ
Enumeration date
04/06/2019
Last updated
06/11/2019
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