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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