Organization
FEATHERLIGHT COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN LOUISE PROVANCE LCSW (OWNER)
(908) 510-0532
Entity
Organization
Contact information
Practice address
807 CRANBURY CROSS RD, NORTH BRUNSWICK, NJ 08902-2268
(908) 510-0532
Mailing address
807 CRANBURY CROSS RD, NORTH BRUNSWICK, NJ 08902-2268
(908) 510-0532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/18/2022
Last updated
10/24/2022
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