Individual
MR. JOHN MICHAEL MUCCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
814 FISCHER BLVD, TOMS RIVER, NJ 08753-4680
(732) 230-2570
(732) 800-4543
Mailing address
1001 FISCHER BLVD # 124, TOMS RIVER, NJ 08753-3841
(732) 230-2570
(732) 800-4543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00452900
NJ
Other
Enumeration date
02/12/2013
Last updated
04/02/2018
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