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Raisa Shams
Mental Health Counselor in Atlantic Highlands, New Jersey
NPI 1821545641

Raisa Shams is a Mental Health Counselor based in Bridgewater, NJ and is specialized in Mental Health. Raisa Shams practices in Atlantic Highlands, NJ. The NPI Number for Raisa Shams is 1821545641 and holds a License No. (New Jersey).

The current practice location address for Raisa Shams is 1041 Highway 36 Ste 206, Atlantic Highlands, NJ and can be reached out via phone at 732-982-2888.

Location: 1041 Highway 36 Ste 206, Atlantic Highlands, NJ, 08807-2135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821545641
Provider Name
Raisa Shams
Credential
Provider Entity Type
Individual
Gender
Female
Address
1041 Highway 36 Ste 206, Atlantic Highlands, NJ, 08807-2135
Phone Number
732-982-2888
Fax Number
Provider Enumeration Date
09/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0023701 01 NJ AGENCY MEDICAID
institution
Provider Business Practice Location Address Details
Address
1041 Highway 36 Ste 206
City
Atlantic Highlands
State
New Jersey
Zip
07716
Phone Number
732-982-2888
Fax Number
person
Provider Business Mailing Address Details
Address
1041 Highway 36 Ste 206
City
Atlantic Highlands
State
New Jersey
Zip
07716
Phone Number
732-982-2888
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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