Organization
TINAMARIE VENISCOFSKI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINAMARIE VENISCOFSKI LCACD (OWNER OF PRACTICE)
(201) 304-3117
Entity
Organization
Contact information
Practice address
1163 ROUTE 37 W # WSUITEC2, TOMS RIVER, NJ 08755-4973
(201) 304-3117
Mailing address
1163 ROUTE 37 W # WSUITEC2, TOMS RIVER, NJ 08755-4973
(201) 304-3117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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