NPI Profile for CRESTING WAVE COUNSELING in HOLMDEL, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Pastoral |
101YP1600X |
| NPI # | 1689292138 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/10/2020 | |
| Last updated | 06/07/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CRESTING WAVE COUNSELING
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