person
Susan R Sporn, LAC
Mental Health Counselor in Lakewood, New Jersey
NPI 1639940497

Susan R Sporn is a Mental Health Counselor based in Jackson, NJ and is specialized in Mental Health. Susan R Sporn practices in Lakewood, NJ and has the professional credentials of LAC. The NPI Number for Susan R Sporn is 1639940497 and holds a License No. 37AC00599000 (New Jersey).

The current practice location address for Susan R Sporn is 139 Ocean Ave Ste 1B, Lakewood, NJ and can be reached out via phone at 848-245-5359. You can also correspond with Susan R Sporn through the mailing address at 9 MIMOSA CT, JACKSON, NJ - 08527-1239 (mailing address contact number: 917-596-3050).

Location: 139 Ocean Ave Ste 1B, Lakewood, NJ, 08527-1239
person
Provider Profile Details
NPI Number
1639940497
Provider Name
Susan R Sporn
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
139 Ocean Ave Ste 1B, Lakewood, NJ, 08527-1239
Phone Number
848-245-5359
Fax Number
Provider Enumeration Date
01/11/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
139 Ocean Ave Ste 1B
City
State
Zip
08701-3668
Phone Number
848-245-5359
Fax Number
person
Provider Business Mailing Address Details
Address
139 Ocean Ave Ste 1B
City
State
Zip
08701-3668
Phone Number
848-245-5359
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37AC00599000 (New Jersey)
Definition
Definition to come...
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