Organization
COASTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE ANDOLENA LCSW (OWNER)
(201) 965-6097
Entity
Organization
Contact information
Practice address
210 W FRONT ST STE 206A, RED BANK, NJ 07701-1155
(201) 965-6097
Mailing address
58 DEER TRL, RAMSEY, NJ 07446-2110
(201) 965-6097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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