Organization
S0LASTA INCORPORATED
Active
Other names
Counseling at the Solasta
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARTIN (CEO)
(609) 746-0146
Entity
Organization
Contact information
Practice address
56 GINGER DR, LUMBERTON, NJ 08048-4204
(609) 746-0146
Mailing address
56 GINGER DR, LUMBERTON, NJ 08048-4204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/29/2019
Last updated
08/05/2021
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