Organization
MVCG PSYCHOTHERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUELA VALVENTOS CORREIA-GUERRA MA, LPC, NCC (OWNER)
(732) 575-0506
Entity
Organization
Contact information
Practice address
512 WARREN AVE OFC, SPRING LAKE, NJ 07762-1233
(732) 575-0506
Mailing address
512 WARREN AVE, OFC, SPRING LAKE, NJ 07762-1233
(732) 575-0506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
06/14/2024
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