Individual
LISA BELSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 ROUTE 166, TOMS RIVER, NJ 08753-4172
(732) 323-3664
Mailing address
1191 ROUTE 166, TOMS RIVER, NJ 08753-4172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00242900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
08/14/2017
Last updated
11/14/2022
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