Organization
CLEAR LIGHT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M COLTHART MSW LCSW (PSYCHOTHERAPIST/OWNER)
(609) 384-4874
Entity
Organization
Contact information
Practice address
60 CHESTNUT STREET, BUILDING 4B, ENGLEWOOD, NJ 07631
(609) 384-4874
Mailing address
60 CHESTNUT STREET, BUILDING 4B, ENGLEWOOD, NJ 07631
(609) 384-4874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245793710
PERSONAL NPI
NJ
Enumeration date
01/06/2023
Last updated
01/06/2023
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