Stephanie Rochelle Bobbitt

Individual provider Active NPI Professional Counselor · West Long Branch, NJ

NPI 1821713686 · NPPES record last updated Oct 4, 2022

Key facts

NPI
1821713686
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401016050 (MI)
Practice address
4 De Forrest PL
West Long Branch, NJ 07764-1129
Phone
(315) 317-6611
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401016050MIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016050 MI Yes

Addresses

Primary practice location

4 De Forrest PL
West Long Branch, NJ 07764-1129

Mailing address

4 De Forrest PL
West Long Branch, NJ 07764-1129
Phone (315) 317-6611

Other providers in West Long Branch, NJ

All providers in West Long Branch, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.