| Organization Name: | JERSEY SHORE COUNSELING, LLC |
| NPI Number: | 1013149020 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MEGAN VACCARO ROSS (SOLE OWNER) |
| Mailing Address: | 780 Commons Way Building J Toms River |
| State: | NJ US |
| Postal Code: | 087556431 |
| Phone Number: | 7327841810 |
| Fax Number: | 7327842850 |
| NPI Enumeration Date: | 08/10/2009 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00059700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |