Organization
HAVENS NEST COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CICCONE LPC (OWNER)
(732) 644-5101
Entity
Organization
Contact information
Practice address
533 WASHINGTON ST, TOMS RIVER, NJ 08753-6744
(732) 644-5101
Mailing address
520 MAIN ST, TOMS RIVER, NJ 08753-7420
(732) 644-5101
(732) 269-8711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00544900
LICENSE
NJ
Enumeration date
11/14/2016
Last updated
11/14/2016
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