Organization
SEASHELL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIREILLE ST-LAURENT LCSW (OWNER)
(732) 894-6746
Entity
Organization
Contact information
Practice address
1 MAIN ST STE 301, EATONTOWN, NJ 07724-3905
(732) 894-6746
Mailing address
1 MAIN ST STE 301, EATONTOWN, NJ 07724-3905
(732) 894-6746
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05609800
NJ
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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