Individual
MR. AVI I GOPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
388 LAKEHURST RD STE 2A, TOMS RIVER, NJ 08755-7340
(732) 930-2242
(732) 930-2242
Mailing address
388 LAKEHURST RD STE 2A, TOMS RIVER, NJ 08755-7340
(732) 930-2242
(732) 569-6819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00379000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619421625
EMPLOYER TYPE II NPI
NJ
Enumeration date
08/14/2017
Last updated
06/16/2018
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