Individual
GEORGIA VENEZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1500 ROUTE 88, BRICK, NJ 08724-2320
(732) 367-4700
Mailing address
310 HUME ST, ALLENHURST, NJ 07711-1035
(732) 331-4770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00457300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
11/01/2019
Last updated
04/09/2025
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