Individual
COURTNEY FACENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1466 HOOPER AVE, TOMS RIVER, NJ 08753-2892
(848) 218-0790
(732) 358-0829
Mailing address
81 CROOKED STICK RD, JACKSON, NJ 08527-4032
(848) 218-0790
(732) 358-0829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL06213900
NJ
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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