Individual
ALYSSA KEUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 BRICK BLVD, BRICK, NJ 08723-7984
(732) 477-0862
Mailing address
74 BRICK BLVD, BRICK, NJ 08723-7984
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00616800
NJ
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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