Organization
LIFE CHANGING CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS GROSVENOR PH.D. (PRESIDENT)
(732) 939-6396
Entity
Organization
Contact information
Practice address
721 ROUTE 34 FL 2, MATAWAN, NJ 07747-6612
(732) 858-4030
Mailing address
721 ROUTE 34 2ND FL, MATAWAN, NJ 07747
(732) 858-4030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
12/28/2020
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