Organization
CHRISTINE B. LILL LCSW, LLC
Active
Organization
CHRISTINE B. LILL LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE B. LILL LCSW (OWNER)
(732) 240-0509
Entity
Organization
Contact information
Practice address
802 MAIN ST, SUITE 1A, TOMS RIVER, NJ 08753-6576
(732) 240-0509
(732) 240-7435
Mailing address
929 RIVERSIDE DR, PINE BEACH, NJ 08741-1340
(732) 286-9360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC04634800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649496894
INDIVIDUAL NPI
—
Enumeration date
03/23/2011
Last updated
03/23/2011
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