Organization
CLIENT-FOCUSED FAMILY COUNSELING
Active
Organization
CLIENT-FOCUSED FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN SULLIVAN M.A., L.P.C. (PRESIDENT)
(732) 996-9072
Entity
Organization
Contact information
Practice address
32 BUENA VISTA AVE, FAIR HAVEN, NJ 07704-3526
(732) 996-9072
(732) 530-4534
Mailing address
32 BUENA VISTA AVE, FAIR HAVEN, NJ 07704-3526
(732) 996-9072
(732) 530-4534
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00315100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169960
—
NJ
Enumeration date
09/20/2010
Last updated
09/20/2010
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