Individual
KENISHA LOUVINIA COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 BRYANT AVE, LAWNSIDE, NJ 08045-1502
(856) 539-4299
Mailing address
2230 ROUTE 70 W STE 2, CHERRY HILL, NJ 08002-3338
(856) 539-4299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00824400
NJ
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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