Organization
HEALTHY SELF COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA CHOCOLATE MS LPC LCADC NCC (OWNER/THERAPIST)
(732) 491-5575
Entity
Organization
Contact information
Practice address
250 WASHINGTON ST STE A5, TOMS RIVER, NJ 08753-7575
(732) 491-5575
Mailing address
250 WASHINGTON ST STE A5, TOMS RIVER, NJ 08753-7575
(732) 491-5575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568829406
INDIVIDUAL NPI
—
Enumeration date
07/02/2021
Last updated
07/29/2021
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