Individual
MR. EDWARD VINCENT MACNISH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
11 FOREST VALLEY DR, TOMS RIVER, NJ 08755-4917
(732) 240-7899
Mailing address
11 FOREST VALLEY DR, TOMS RIVER, NJ 08755-4917
(732) 240-7899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00376800
NJ
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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