Organization
INSTITUTE FOR PSYCHOLOGICAL AND SPIRITUAL GROWTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE BARBARA DE BONIS LCSW PH.D (PRESIDENT/OWNER)
(732) 739-4098
Entity
Organization
Contact information
Practice address
1 BETHANY RD, SUITE34, HAZLET, NJ 07730-1663
(732) 739-4098
Mailing address
1 BETHANY RD, SUITE34, HAZLET, NJ 07730-1663
(732) 739-4098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC00022200
NJ
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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