Individual
SAMANTHA MARIE FAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
74 BRICK BLVD STE 204, BRICK, NJ 08723-7984
(732) 832-3444
(732) 832-3434
Mailing address
109 FIRESTONE RD, TOMS RIVER, NJ 08753-4200
(973) 229-3118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00486600
NJ
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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