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Shelleyswayllc
Mental Health Counselor in Irvington, New Jersey
NPI 1639645179

Shelleyswayllc is a Mental Health Counselor based in New Brunswick, NJ and is specialized in Mental Health. Shelleyswayllc practices in Irvington, NJ. The NPI Number for Shelleyswayllc is 1639645179 and holds a License No. (New Jersey).

The current practice location address for Shelleyswayllc is 50 Union Ave Ste 804B, Irvington, NJ and can be reached out via phone at 862-438-6121.

Location: 50 Union Ave Ste 804B, Irvington, NJ, 08901-3137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639645179
Provider Name
Shelleyswayllc
Credential
Provider Entity Type
Organization
Address
50 Union Ave Ste 804B, Irvington, NJ, 08901-3137
Phone Number
862-438-6121
Fax Number
Provider Enumeration Date
10/23/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0594628 05 NJ
institution
Provider Business Practice Location Address Details
Address
50 Union Ave Ste 804B
City
Irvington
State
New Jersey
Zip
07111-5221
Phone Number
862-438-6121
Fax Number
person
Provider Business Mailing Address Details
Address
50 Union Ave Ste 804B
City
Irvington
State
New Jersey
Zip
07111-5221
Phone Number
862-438-6121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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