Individual
CAROLYN SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
PREFERRED BEHAVIORAL HEALTH WRAP AROUND PROGRAM, 999 AIRPORT ROAD, LAKEWOOD, NJ 08701
(732) 367-1710
Mailing address
1218 HANCOCK ROAD, TOMS RIVER, NJ 08753
(732) 367-1710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00249800
NJ
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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