Individual
BEN SHUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
219 TAYLORS MILLS RD, MANALAPAN, NJ 07726-3255
(908) 415-2042
Mailing address
40 CROSS RD APT 37, MATAWAN, NJ 07747-1105
(908) 839-0596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00613100
NJ
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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