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General NPI Number Information
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NPI Number | 1619475928
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Entity Type | Organization
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Legal Business Name | OCEAN COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 1163 WASHINGTON ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-6833
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Country | US
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Telephone | 732-240-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 1163 WASHINGTON ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-6833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DEBORAH GALLETTA
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Credential | LCSW
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Telephone | 732-240-4760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 44SC05616800
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License Number State | NJ
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