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Organization

HOLISTIC BONFIRE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SURUCHI SAINI MA, LPC, NCC, CCTP (PRINCIPAL)
(908) 376-9036
Entity
Organization

Contact information

Practice address
258 NEWARK ST, SUITE 205, HOBOKEN, NJ 07030-3419
(908) 376-9036
Mailing address
571 BUCKINGHAM DR, PISCATAWAY, NJ 08854-6259

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00425500
NJ

Other

Enumeration date
02/07/2017
Last updated
01/15/2024
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