Organization
CRESTING WAVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MILLER LPC (OWNER)
(848) 863-9097
Entity
Organization
Contact information
Practice address
7 GREYLYNNE CT, HOLMDEL, NJ 07733-2372
(848) 863-9097
Mailing address
200 VILLAGE CENTER DR UNIT 6164, FREEHOLD, NJ 07728-2688
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
06/07/2021
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