Individual
MR. MICHAEL SANSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCSP, ED.S., MA
Contact information
Practice address
108 FAIRWAY TER, MOUNT LAUREL, NJ 08054-2321
(856) 787-7150
(856) 787-1521
Mailing address
108 FAIRWAY TER, MOUNT LAUREL, NJ 08054-2321
(856) 787-7150
(856) 787-1521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00473500
NJ
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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