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Organization

YOUR SERENTITY COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT LAGUARINA JR. (CEO)
(856) 230-6251
Entity
Organization

Contact information

Practice address
363 GLASSBORO RD, WOODBURY HEIGHTS, NJ 08097-1012
(856) 230-6251
Mailing address
363 GLASSBORO RD, WOODBURY HEIGHTS, NJ 08097-1012
(856) 230-6251

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC0051340
NJ
101YP2500X
Professional Counselor
Primary
37PC0051340
NJ
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
37PC0051340
NJ

Other

Enumeration date
02/21/2018
Last updated
02/21/2018
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