Individual
MRS. STACEY DAMKOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
343 OLD GEORGES RD STE 201, NORTH BRUNSWICK, NJ 08902-4801
(609) 969-3009
Mailing address
315 KENT LN, KENTS STORE, VA 23084-2269
(609) 969-3009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21307
NC
101YP2500X
Professional Counselor
Primary
37PC01138700
NJ
Other
Enumeration date
11/08/2022
Last updated
06/12/2025
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