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General NPI Number Information
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NPI Number | 1497671440
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Entity Type | Organization
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Legal Business Name | INNER HEALING LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 1913 ATLANTIC AVE STE 119
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City | MANASQUAN
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State | NJ
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Zip | 08736-1070
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Country | US
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Telephone | 908-569-1944
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Fax | 908-332-9546
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Provider Business Mailing Address
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Address Line | 1913 ATLANTIC AVE STE 119
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City | MANASQUAN
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State | NJ
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Zip | 08736-1070
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Country | US
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Telephone | 908-569-1944
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Fax | 908-332-9546
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | PAMELA KLETKE
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Credential | MS, LPC, LCADC, ACS
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Telephone | 908-569-1944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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