Individual
TIERRA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 US HIGHWAY 202, RARITAN, NJ 08869-1475
(908) 977-1650
Mailing address
202 ALLENHURST AVE, NEPTUNE, NJ 07753-3717
(732) 685-2169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/19/2022
Last updated
03/01/2022
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