Individual
MS. TAJA LANISSE CONOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC.
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 998-4111
Mailing address
55 3RD AVE, TOMS RIVER, NJ 08757-5027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00412700
NJ
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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