Individual
THERESA BUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
25A MAIN ST, TOMS RIVER, NJ 08753-7435
(848) 224-5605
Mailing address
36 MAPLE ST, BEACHWOOD, NJ 08722-3546
(848) 448-1729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00405600
NJ
101YP2500X
Professional Counselor
37AC00405600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
08/12/2019
Last updated
05/29/2024
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