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Organization

SOUL WORK LLC

Active
Other names
Soul Work Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY PASSANISI LPC, LCADC (PSYCHOTHERAPIST)
(732) 600-0342
Entity
Organization

Contact information

Practice address
1 BETHANY RD STE 69, HAZLET, NJ 07730-1668
(732) 600-0342
Mailing address
20 BROOK ST, RED BANK, NJ 07701-5802
(732) 600-0342

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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