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Organization

CASA RICO, LLC

Active
Other names
Be Well Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETHEA COPPOLA-RIOS LPC (OWNER)
(908) 548-8533
Entity
Organization

Contact information

Practice address
285 DURHAM AVE, BLDG. #6, STE 2A, SOUTH PLAINFIELD, NJ 07080-2546
(908) 548-8533
(908) 548-8532
Mailing address
285 DURHAM AVE, BLDG. #6, STE 2A, SOUTH PLAINFIELD, NJ 07080-2546
(908) 548-8533
(908) 548-8532

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00339800
NJ

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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