Organization
HEART AND SOUL HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE KAUFFMANN MSW LCSW (AUTHORIZED OFFICIAL)
(732) 787-3568
Entity
Organization
Contact information
Practice address
47 RECKLESS PL, RED BANK, NJ 07701-1750
(732) 787-3568
Mailing address
47 RECKLESS PL, RED BANK, NJ 07701-1750
(732) 787-3568
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC05489500
NJ
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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