Individual
THEA BERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 ROUTE 37 E, TOMS RIVER, NJ 08753-7168
(732) 288-9322
Mailing address
1740 1ST AVE, TOMS RIVER, NJ 08757-3521
(732) 773-5603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NJ
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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