Individual
PATTI KOUSOULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 INDUSTRIAL WAY EAST, EATONTOWN, NJ 07724
(732) 982-3918
Mailing address
10 INDUSTRIAL WAY EAST, EATONTOWN, NJ 07724
(732) 982-3918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00647600
NJ
Other
Enumeration date
12/16/2018
Last updated
11/19/2019
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