Individual
LAURA BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
344 GROVE ST UNIT 1162, JERSEY CITY, NJ 07302-5923
(201) 856-6438
Mailing address
344 GROVE ST UNIT 1162, JERSEY CITY, NJ 07302-5923
(201) 856-6438
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00191100
NJ
106H00000X
Marriage & Family Therapist
IMF92013
CA
106H00000X
Marriage & Family Therapist
TPMF969
FL
Other
Enumeration date
06/27/2016
Last updated
06/11/2024
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